Lifestyle and Well-Being Survey

Bedtime:

• Before 10:00 PM

• Between 10:00 PM and 11:00 PM

• After 11:00 PM

Time Spent Sleeping:

• Less than 6 hours

• 6-7 hours

• 7-8 hours

• More than 8 hours

Electronic Devices:

• I turn them off before bed

• I keep them on when in bed

Going Out with Friends:

• Frequently

• Occasionally

• Rarely

Talking to Friends About Problems:

• Yes

• No

Talking to Family About Problems:

• Yes

• No

Having Someone to Share Problems With:

• Yes

• No

Exercise Time:

• Less than 30 minutes

• 30 minutes to 1 hour

• More than 1 hour

Sports Participation:

• Yes

• No

Frequency of Playing Sports:

• Daily

• Weekly

• Monthly

• Rarely