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Most Common Daily Activities Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
What is the most common daily activity for you?
Please select the option that best describes the activity you do most often.
Working
Eating
Sleeping
Exercising
Watching TV
2
Rate the importance of daily activities on a scale of 1 to 10
Please rate the importance of daily activities with 1 being least important and 10 being most important.
3
Describe your daily routine briefly
Please provide a short description of your daily routine.
4
Which meal of the day do you enjoy the most?
Please select the meal that you enjoy the most during the day.
Breakfast
Lunch
Dinner
Snacks
5
How many hours of sleep do you get on an average night?
Please provide the number of hours you typically sleep in a night.
6
Rate your stress level on a scale of 1 to 10
Please rate your stress level with 1 being no stress and 10 being extremely stressed.
7
Do you engage in any form of physical activity daily?
Please indicate whether you engage in any physical activity daily.
Yes
No
8
What is the first thing you do when you wake up?
Please select the option that best describes the first thing you do upon waking up.
Check phone
Brush teeth
Exercise
Drink water
Other
9
How many cups of coffee or tea do you drink in a day?
Please provide the number of cups of coffee or tea you consume in a day.
10
Rate your overall happiness level on a scale of 1 to 10
Please rate your overall happiness level with 1 being least happy and 10 being happiest.
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