问卷题目预览
Q1.
What's your name?
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Q2.
What's your mobile phone number?
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Q3.
How old are you?
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Q4.
What is your gender?
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Q5.
How often do you have a general checkup?
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A. Less than half a year
B. Half a year-one year
C. More than one year
D. Never do it
Q6.
Have you ever used any medicine to help you fall asleep?
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Q7.
Do you drink coffee, tea or other caffeinated drinks before going to bed?
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Q8.
Do you use the alarm clock before going to bed?
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Q9.
What time do you usually go to bed at night?
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A. Before 21 o'clock
B. 21: 00 -22: 00
C. 22: 00 -23: 00
D. 23: 00 -24: 00
E. 24: 00 -1: 00
F. After one o'clock
G. Never sleep
Q10.
Do you play with your mobile phone before going to bed?
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Q11.
If you play mobile phone before going to bed, what kind of APP do you usually play?
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A. Social software
B. Games software
C. Reading software
D. Short video software
Q12.
Do you often lose sleep at night?
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Q13.
Do you often dream at night?
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Q14.
Do you talk in your sleep at night?
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Q15.
Is your diet too greasy?
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Q16.
What kind of hair do you belong to?
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A. Oily hair
B. Neutral hair
C. Dry hair
D. Mixed hair
Q17.
Are you worried about hair loss?
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Q18.
Do you have oily hair loss?
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Q19.
Do you have seborrheic alopecia?
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Q20.
Does your hairline move back?
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Q21.
Are there genetic factors that affect your insomnia and hair loss?
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Q22.
Have you tried any methods to alleviate the problem of insomnia and hair loss?
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