* 1. how old are you

* 2. what is your gender

* 3. where do you live

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

* 5. Which of the following do you use

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

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

* 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

* 8. do you tend to be a restless sleeper

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