The Questionaire of College Student's Sub Health - 问卷调查调研模板

The Questionaire of College Student's Sub Health

欢迎参加本次答题

Q1:What's your gender?

male

female

Q2:Which grade are you in?

Freshman

Sophomore

Junior

Senior

Q3:How often do you eat breakfast?

Every day

Usually

Sometimes

Never

Q4:How many times do you exercise every week?

More than 5

2-4

0-1

Q5:What time do you always sleep?

Before 22:00

22:00 to 23:00

23:00 to 24:00

After 24:00

Q6:How many hours do you often sleep

More than 8 hours

6-8 hours

4-6 hours

Less than 4 hours

Q7:Which sleep problem do you have ?

Sleeplessness（失眠）

Nightmare(噩梦）

Sleepwalking（梦游）

Night torrers（夜惊)

None

Q8:Do you have a siesta habit?(午睡习惯）

Yes.

No.

Q9:How often do you feel depressed?

Always

Occasionally

Almost never

Q10:Which of the following problems do you have?(multiple choice)

Difficulty concentrating(注意力难集中）

Hypomnesis（记忆力减退）

Loss of appetite（食欲不振)

Physically weak(身体虚弱）

Q11:How much do you learn about Sub Health?

A lot.

Not much.

Just a little.