A study of insomnia and hair loss in young people

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问卷题目预览
Q1. What's your name? 填空题
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Q2. What's your mobile phone number? 填空题
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Q3. How old are you? 填空题
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Q4. What is your gender? 选择题 单选
A. man
B. woman
Q5. How often do you have a general checkup? 选择题 单选
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? 选择题 单选
A. Yes
B. No
Q7. Do you drink coffee, tea or other caffeinated drinks before going to bed? 选择题 单选
A. Yes
B. No
Q8. Do you use the alarm clock before going to bed? 选择题 单选
A. Yes
B. No
Q9. What time do you usually go to bed at night? 选择题 单选
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? 选择题 单选
A. Yes
B. No
Q11. If you play mobile phone before going to bed, what kind of APP do you usually play? 选择题 单选
A. Social software
B. Games software
C. Reading software
D. Short video software
Q12. Do you often lose sleep at night? 选择题 单选
A. Yes
B. No
Q13. Do you often dream at night? 选择题 单选
A. Yes
B. No
Q14. Do you talk in your sleep at night? 选择题 单选
A. Yes
B. No
Q15. Is your diet too greasy? 选择题 单选
A. Yes
B. No
Q16. What kind of hair do you belong to? 选择题 单选
A. Oily hair
B. Neutral hair
C. Dry hair
D. Mixed hair
Q17. Are you worried about hair loss? 选择题 单选
A. Yes
B. No
Q18. Do you have oily hair loss? 选择题 单选
A. Yes
B. No
Q19. Do you have seborrheic alopecia? 选择题 单选
A. Yes
B. No
Q20. Does your hairline move back? 选择题 单选
A. Yes
B. No
Q21. Are there genetic factors that affect your insomnia and hair loss? 选择题 单选
A. Yes
B. No
Q22. Have you tried any methods to alleviate the problem of insomnia and hair loss? 填空题
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