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Exit Survey
 
 
What year are you?
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
Adult Studies
 
 
 
What gender are you?
 
Male
 
Female
 
 
 
Which of the following do you fall under?
 
Live in dorms
 
Live off campus (upperclassmen)
 
Commuter
 
Adult Studies
 
 
 
Do you have a job?
 
Yes
 
No
 
 
 
Are you an athlete?
 
Yes
 
No
 
 
 
On average at night, how much sleep do you get?
 
Less than 4 hours
 
5-7 hours
 
8-9 hours
 
10 hours or more
 
 
 
What contributes to you staying up late and not getting as much sleep as you should?
   
 
 
 
Do you have a sleeping disorder or a medical issue that would alter how much sleep you get a night?
 
Yes
 
No
 
 
 
If you got more sleep in a night, would it help you function better during the day?
 
Yes
 
No
 
Maybe
 
 
 
How often do you take a nap?
 
Not at all
 
Once a week
 
A couple times a week
 
Everyday
 
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