|
Factors in Caffeine Consumption Hello! This survey is being conducting to find out a few of the many factors in the consumption of caffeine and analyze the results for a statistics class. Please take a few minutes to complete this 15 question survey. It should not take any longer than 5 minutes. Thank you in advance for your time and participation! |
| |
|
|
|
|
|
* What description best describes your situation? |
| |
|
|
|
|
* What shift do you work? |
| |
|
|
|
|
* What is your age range? |
| |
|
|
|
|
* How many hours of sleep per night do you get on average? |
| |
|
|
|
|
* What category best fits your occupation/industry or desired field if you are a student currently without a job: |
| |
|
|
|
|
| * On a scale of 1-10, , how would you rate your overall stress level:(1-being low; 10-being high) | | |
|
|
|
|
| * On an average day, rate your level of energy between 1-10: (1-no energy/poor; 10-abundant energy/excellent) | | |
|
|
|
|
* How often do you drink caffeinated beverages? (Coffee, energy drinks, soft drinks, tea, etc.) |
| |
|
|
|
|
* How many many ounces of caffeine do you consume on a daily basis? |
| |
|
|
|
|
* If you were to drink any of the following, rank the order in which you’d drink it (1-favorite/preferred drink, 2 – second, etc): |
| |
| | Coffee beverages Energy drinks Pop/Soft drinks Tea 5 Hour Energy Other
| |
|
|
|
|
| In the previous ranking question, what would "other" be for you? | | |
|
|
|
|
* How much of your daily caffeine consumption is from your drink of choice? |
| |
|
|
|
|
* When do you consume the most caffeine? |
| |
|
|
|
|
* Would you say that without your caffeine, you would have a “bad day?” |
| |
|
|
|
|
* Can you go 24-72 hours without caffeine? |
| |
|
|
|