The Affects of Bedtime Technology on the Body's Circadian Rhythm

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This questionnaire was developed by the researcher for the purpose of gathering information related to factors that have been determined to have an affect on sleep and the body’s circadian rhythm.

The following questions relate to your usual sleep habits during the past month only. Your answers should indicate the most accurate reply for the majority of days and nights in the past month.

This questionnaire is anonymous and you can not be identified by the results you provide. Some of the questions require you to check a box, others to score yourself on a scale, whereas others just require you to select either a Yes or No. It should take between 6 to 10 minutes to complete.

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