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* 1. how old are you

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* 2. what is your gender

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* 3. where do you live

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* 4. In a typical week, how often do you feel stress

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* 5. Which of the following do you use

  almost always often sometimes seldom never
smoke cigarettes
prescription medications
drugs or alcohol
Coffee
energy drinks

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* 6. do you work and/or go to school

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* 7. on average, how many hours of sleep do you get in a night

  1-3 hours 4-7 hours 8-11 hours 12+ hours
weekend 
weekday

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* 8. do you tend to be a restless sleeper

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* 10. on average, how tired are you throughout the day

T