Lifestyle factors | Question | Time or days per week |
---|---|---|
Quantity of sleep | What time did you usually go to bed on weekdays? | Â |
How long did it take to fall asleep? | Â | |
What time did you usually go to bed on weekends? | Â | |
What time did you usually get out of bed on weekdays? | Â | |
What time did you usually get out of bed on weekends? | Â | |
How many hours did you sleep every night on weekdays? | Â | |
How many hours did you sleep every night on weekends? | Â | |
How many hours did you get a nap on weekdays? | Â | |
How many hours did you get a nap on weekends? | Â | |
Sleep quality | How many days per week do you have difficulties falling asleep? | /7 |
How many days per week do you wake up too early? | /7 | |
How many days per week do you use Hypnotic medications (sleep aids)? | /7 | |
How many days per week do you fall asleep during the day? | /7 | |
How many days per week do you feel tired upon waking up in the morning? | /7 | |
How many days per week do you snore? | /7 | |
How many days per week do you experience mid-sleep awakenings? | /7 | |
How many days per week do you experience headaches on awakening? | /7 | |
How many days per week do you experience excessive daytime sleepiness? | /7 | |
How many days per week do you experience excessive movement during sleep? | /7 | |
Total score of sleep quality out of 70 | /70 | |
Mood | How many days per week do you experience no energy to get things done? | /7 |
How many days per week do you experience sadness? | /7 | |
How many days per week do you experience worry? | /7 | |
How many days per week do you experience anger? | /7 | |
How many days per week do you experience physical pain? | /7 | |
Total score of mood status out of 35 | /35 | |
Diet | How many days per week do you eat fast food? | /7 |
How many days per week did you eat red meat? | /7 | |
How many days per week do you eat fish/omega 3? | /7 | |
How many days per week do you eat 4–5 servings of fruits/vegetables? | /7 | |
How many days per week did you take vitamin D tablet? | /7 | |
How many days per week did you take Magnesium tablet? | /7 | |
Total Score of Diet out of 42 | /42 | |
Physical activity | How many days per week in a normal week do you engage in at least 30-minute pre-planned physical activity? | /7 |
Social activity | How many days per week did you participate in a social, cultural, or support group that you belong to? | /7 |
Smoking behavior | Do you smoke? | Â |
If yes, how many cigarettes do you smoke per day? | Â | |
Self-rated wellness & health | How much do you rate your wellness and health out of 10; 10 being the healthiest and 0 being the unhealthiest? | /10 |