A STUDY ON THE SLEEP PATTERN OF ADULTS PART-1: Name: Age: Occupation: employed in private sector / govt.

employee/ student / retired from service / unemployed PART-2: Please put a tick mark against your choice. a. between 9-10 pm 1. At what time do you go to bed at night everyday? b. 10-11 pm c.11-11.30pm d. after 11.30pm

2. At what time do you normally have your supper? a. before 8pm b. between 8 and 9pm c. after 9pm a. physically tiring 3. How would you describe your nature of your day-to-day work? b. mentally tiring c. both a and b d. relaxed e. monotonous f. boring

4. On an average how long do you sleep daily? a. 6 hrs b. 7 hrs c. 8hrs d. less than 6 hrs e. more than 8 hrs 5. How often do you stay awake late in the night? a. daily b. weekends c. occasionally d. never 6. Do you take afternoon naps? a. regularly b.sometimes c. never 7. At what time do you normally wake up in the morning? a. before 5am b. between 5 and 6am c. 6-7am d. after 7am 8. How often you work at night? a. daily b. regular intervals c. sometimes d. rarely e. never 9. Which of these is the prime reason for your staying up late in the night? a. TV b. domestic chores c. studies d. social networking sites/internet e. hobbies/pass time f. office work g. mobile h. others (specify) 10. How do you feel on the next day, when you have had inadequate sleep? a. dont feel any difference b. feel tired c. have head ache d. get irritated e. others (specify) 11. Do you feel that you get adequate sleep? a. yes b. no 12. Are you suffering from any of these? a. diabetes b. blood pressure c. heart problems d. obesity e. asthma f. other illness g. no