Social Media Sleep Survey Form
Help us understand the relationship between social media use and sleep habits. Please answer all questions honestly. This survey is anonymous and takes only a few minutes.
What is your age group?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
On average, how many hours do you sleep per night?
*
Less than 5 hours
5-6 hours
6-7 hours
7-8 hours
More than 8 hours
How would you rate your overall sleep quality?
*
1
2
3
4
5
How often do you use social media within 1 hour before going to bed?
*
Never
Rarely
Sometimes
Often
Always
Which social media platforms do you use most frequently? (Select all that apply)
*
Instagram
Facebook
TikTok
Twitter/X
Snapchat
YouTube
Reddit
Other
How many minutes do you typically spend on social media per day?
*
Less than 30 minutes
30-60 minutes
1-2 hours
2-3 hours
More than 3 hours
Do you use a mobile device or computer to access social media before bed?
*
Mobile device
Computer
Both
Neither
How much do you agree with the following statement: "Social media use before bed negatively affects my sleep"?
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Briefly describe your typical bedtime routine.
Do you have any suggestions or comments about social media and sleep?
Submit Survey
Should be Empty: