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Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

?What do you usually do in the last 30 minutes before bed?

a)

Scroll through social media until I get tired

b)

Watch Netflix or YouTube in bed

c)

Turn off screens and relax with quiet music or a book

d)

Chat with friends in bed until I fall asleep

2.

How long does it usually take you to fall asleep?

a)

Over an hour – I toss and turn a lot

b)

10–20 minutes – I fall asleep pretty easily

c)

I fall asleep in front of a screen

d)

I fall asleep instantly because I’m exhausted all the time

3.

How do you feel during your first class in the morning?

a)

Awake, focused and ready to learn

b)

I’m tired but I push through

c)

I usually zone out or feel sleepy

d)

I have a hard time keeping my eyes open

4.

What’s your usual bedtime on school nights?

a)

Between 9:30–10:30 PM

b)

Around 11:30 PM

c)

After midnight

d)

Whenever I finish watching or texting

5.

How often do you wake up in the middle of the night?

a)

Almost every night, I can’t sleep deeply

b)

Rarely {באופן נדיר} – I usually sleep through the night

c)

Sometimes, if I hear a sound or get a notification

d)

Every time I fall asleep with my phone on

6.

How do you feel emotionally when you don’t sleep well?

a)

I don’t notice any change

b)

A little annoyed, but nothing serious

c)

I feel more stressed, sad, or easily upset

d)

I’m always emotional – not sure if it’s sleep or not

7.

What’s your weekend sleep schedule like?

a)

I stay up until 3 AM and wake up at noon

b)

I try to sleep and wake at the same times as weekdays

c)

I sleep much more on weekends to catch up

d)

I don't really have a schedule – just whenever

8.

How many hours of sleep do you usually get on a school night?

a)

4–5 hours – I sleep really late and wake up early

b)

6 hours – it’s not great, but I’m used to it

c)

8–10 hours – I try to get enough rest every night

d)

11+ hours – but only after staying up all night the day before

9.

What helps you fall asleep?

a)

Watching something until I pass out

b)

A quiet, dark room and a relaxing routine

c)

Lying in bed with my phone until I get sleepy

d)

Eating snacks or scrolling when I can’t sleep

10.

How do you feel after a full night of good sleep?

a)

Fresh, happy, and ready for the day

b)

Okay, but I still need caffeine

c)

Still tired – sleep never helps me

d)

I don’t know, it’s been a long time