Cellphone and Sleep survey
Do you have a cell phone?
Yes
No
What is your gender?
Male
Female
What grade are you in?
9th
10th
11th
12th
When do you use your cell phone the most?
Before School
During School
Before Dinner
After Dinner
Do you use your cell phone between the hours of 7 p.m. and midnight?
Yes
No
During that time do you mostly...
Text
Talk on your cell phone
Equal time for both
What time do you stop using your cell phone at night?
Around 7 p.m.
Around 8 p.m.
Around 9 p.m.
Around 10 p.m.
Around 11 p.m.
Around 12 a.m.
After 12 a.m.
Do you think you could go to bed earlier if you weren't on your cell phone?
Yes
No
Explain where you leave your phone when you are sleeping.
i.e. nightstand, under your pillow, downstairs..
Are you ever woken up by your cell phone?
Yes
No
Sometimes