調査テンプレートライブラリサイコ人口統計調査睡眠調査テンプレート+サンプルアンケートテンプレート

睡眠調査テンプレート+サンプルアンケートテンプレート

睡眠調査テンプレートは、一般的な睡眠習慣と睡眠不足の原因と理由に関する回答者からデータを収集するさまざまな調査質問で構成されています。この調査は、睡眠不足の頻度とそれを引き起こすすべての要因を理解することを目的としたさまざまな調査質問で構成されています。また、睡眠不足の頻度と回答者の不眠の理由についてのフィードバックも収集します。このアンケートは、回答者から、単に疲れや疲労を感じるのではなく、眠りに落ちる状況を理解するために専門家によって作成されました。

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一般的に睡眠不足はどの程度悩みましたか？

どういたしまして

少し

幾分

たくさん

睡眠に関してこれらの問題のどれを経験しましたか？該当するものをすべて選択

寝難い

夜中に目が覚める

夜中に目が覚めて眠りに落ちない

起きにくい

目覚めに不安を感じる

上記のどれでもない

1週間に何週間睡眠に問題がありますか？

0泊

1〜2泊

3-4泊

5泊以上

過去7日間で、7〜9時間の間に何回寝ましたか？

平均して、一晩に何泊寝ましたか？

3以下

3.5

4.5

5.5

6.5

7以上

睡眠にどのくらい問題がありましたか？

1か月未満

1〜3ヶ月

4-6か月

7-12か月

1年以上

子供の頃よく眠れましたか？

はい

番号

覚えてない

Japanese (日本語) translation missing for : Please state your agreement with the following statements that are causing you to sleep less:

	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree
Japanese (日本語) translation missing for : Work stress	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Money problems	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Relationship problems	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Health problems	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Drinking caffeinated drinks	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Less to no exercise	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Waking up to go to the bathroom	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Sounds from outside the room	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Sounds from inside the room	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Temperature in the room	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree
Japanese (日本語) translation missing for : Trouble breathing	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Having bad dreams	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Watching TV before sleeping	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Using a mobile/computer/laptop before sleeping	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Smoking before sleeping	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Consuming alcohol before sleeping	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Working long hours	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

Japanese (日本語) translation missing for : Working unorthodox hours	Japanese (日本語) translation missing for : Strongly disagree	Japanese (日本語) translation missing for : Disagree	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Agree	Japanese (日本語) translation missing for : Strongly agree

終わらないでその日のうちに眠りにつく可能性はどのくらいありますか？または、日中に目を覚まし続けるのに苦労する可能性はどれくらいですか？

チャンスは無い

わずかなチャンス

適度なチャンス

高確率

Japanese (日本語) translation missing for : How likely are you to fall asleep in the following situations rather than just feel tired or fatigued:

	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely
Japanese (日本語) translation missing for : Working in an office	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

Japanese (日本語) translation missing for : Working on a site	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

Japanese (日本語) translation missing for : Sitting and reading	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

Japanese (日本語) translation missing for : Watching TV	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

Japanese (日本語) translation missing for : Surfing the internet	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

Japanese (日本語) translation missing for : Lying down without doing anything	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

Japanese (日本語) translation missing for : As a passenger in a car	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

Japanese (日本語) translation missing for : As a driver of a car	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

Japanese (日本語) translation missing for : Stuck in traffic	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

Japanese (日本語) translation missing for : Talking to someone	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely
Japanese (日本語) translation missing for : Attending a meeting	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

Japanese (日本語) translation missing for : Attending a call	Japanese (日本語) translation missing for : Very unlikely	Japanese (日本語) translation missing for : Unlikely	Japanese (日本語) translation missing for : Neutral	Japanese (日本語) translation missing for : Likely	Japanese (日本語) translation missing for : Very likely

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睡眠調査テンプレート+サンプルアンケートテンプレート

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