Survey Questionnaire Sleep Deprivation
Survey Questionnaire Sleep Deprivation
Survey Questionnaire Sleep Deprivation
Please answer the questions truthfully. Please be assured that your answers will
remain confidential and will be used as data for our research.
Thank you for your honest cooperation. May God bless you!
Sincerely yours,
GAS 1 Researchers
Instruction: Put a check on the designated column.
General Average: ( ) 75 – 80
( ) 81 – 85
( ) 86 - 89
( ) 90 – 93
( ) 94 – 96
( ) 97 – 100
Making assign/homework
Watching TV
Reading books
Studying lessons
Emotional Stress
Insomnia
SA A D SD
4 3 2 1
1.I feel less
active during
class hours
2.I find it hard
to focus and
answer the
questions of
my teachers
during
discussions
3.I feel that I
am not
participating
very well in our
group task
4.I tend to fail
complying on
all my tasks
5.My test
scores did drop
effortlessly
6.My school
performance
does not
improve nor
decline even if
I don’t have
enough sleep
7. There is no
change in my
grades even if I
don’t have
enough sleep