Sleep survey

Are you a girl or a boy?

Girl

Boy

Clear selection

What year group are you currently in?

Year 4

Year 5

Year 6

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Do you use a screen (TV, laptop, phone, tablet) in the last hour before you go to bed?

Yes

No

Sometimes

What time do you usually go to bed?

7.00pm-7.30pm

7.31pm-8.00pm

8.01pm-8.30pm

8.31pm-9.00pm

9.01pm-9.30pm

9.31pm-10.00pm

How long do you spend on a screen most days?

less than one hour

1-2 hours

3-4 hours

more than 4 hours

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How well do you sleep most nights?

Not good at all

1

2

3

4

5

Very good

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Do you have a device in your bedroom

Yes

No

Sometimes

Clear selection