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Questionnaire Name - 睡眠環境問卷調查 Sleeping Environment Questionnaire

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1	你每日平均花多少時間在睡眠上? How many hours do you sleep per day normally?
	A- 五小時或以下 5 hours or Below (6)  B- 六至八個小時 6-8 hours (8)  C- 九小時至十一個小時9-11 hours (2)  D- 十二小時或以上12 hours or Above (0)
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2	你習慣性在於哪段時間裡進睡? What time you used to go to bed?
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3	你習慣性在於哪段時間裡起床? What time you used to wake up?
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4	在過去兩個月內，你有否嘗試過失眠? In last two months, have you experienced insomnia?
	A- 沒有 Never (6)  B- 偶爾 Occasionally (10)  C- 頻繁地 Frequently (0)  D- 經常性 Always (0)
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5	當你在工作或學習的時候，有否感到瞌睡的覺? Have you ever felt sleepy when you are working or studying?
	A- 沒有 Never (0)  B- 偶爾 Occasionally (8)  C- 頻繁地 Frequently (3)  D- 經常性 Always (5)
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6	你是否能容易地進入睡眠狀態? Do you find it easy to fall asleep at night?
	A- 容易的 Easy (6)  B- 正常地 Normally (10)  C- 困難的 Difficulty (0)  D- 需要依靠藥物Necessary with medical treatment (0)
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7	你認為下列哪些原因主要影響了你睡眠質素? What is the main reason that causes you to sleep poorly?
	A- 日常的生活壓力 With pressure from the daily life (6)  B- 醫療問題或疾病 Medical problem/ Diseases (0)  C- 環境的問題 Environmental problem (3)  D- 個人情緒問題 Self-emotion problem (7)  E- 其他 Others (0)
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8	你有否個人的方法或習慣能幫助改善你的睡眠質素? 試列出它們 Do you have any personal method or habit that can improve your sleeping quality? Please list them out
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9	你現在的睡房的主要顏色是甚麼? What is the main color in your bedroom now?
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10	你有否打開門窗來睡眠的習慣? Will you open the window/door when you sleep?
	A- 有 Yes (8)  B- 沒有 No (8)
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11	你會否在睡房內工作或學習? Are you working/studying in the bedroom?
	A- 有 Yes (10)  B- 沒有 No (6)
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12	你現有的睡房要與多少人共用? How many people sharing your bedroom now?
	A- 0 people (5)  B- 1 people (9)  C- 2 people (2)  D- above 3 people (0)
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13	若果要與別人共用，他們是誰? And who are they?
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14	我認為令我進入良好的睡眠狀態，第1位是: I think the most important factor is
	A- 室內環境Interior environment (e.g. lighting, sound etc.) (2)  B- 床與床墊的質素The quality of bed and mattress (6)  C- 穩定的情緒Self emotion control (3)  D- 睡眠的模式Sleeping pattern (2)  E- 其他other (3)
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15	我認為令我進入良好的睡眠狀態，第2位是: I think the 2nd important factor is
	A- 室內環境Interior environment (e.g. lighting, sound etc.) (8)  B- 床與床墊的質素The quality of bed and mattress (3)  C- 穩定的情緒Self emotion control (5)  D- 睡眠的模式Sleeping pattern (0)  E- 其他other (0)
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16	我認為令我進入良好的睡眠狀態，第3位是: I think the 3rd important factor is
	A- 室內環境Interior environment (e.g. lighting, sound etc.) (5)  B- 床與床墊的質素The quality of bed and mattress (4)  C- 穩定的情緒Self emotion control (4)  D- 睡眠的模式Sleeping pattern (3)  E- 其他other (0)
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17	我認為令我進入良好的睡眠狀態，第4位是: I think the 4th important factor is
	A- 室內環境Interior environment (e.g. lighting, sound etc.) (1)  B- 床與床墊的質素The quality of bed and mattress (2)  C- 穩定的情緒Self emotion control (3)  D- 睡眠的模式Sleeping pattern (9)  E- 其他other (1)
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18	我認為令我進入良好的睡眠狀態，第5位是: I think the 5th important factor is
	A- 室內環境Interior environment (e.g. lighting, sound etc.) (0)  B- 床與床墊的質素The quality of bed and mattress (1)  C- 穩定的情緒Self emotion control (1)  D- 睡眠的模式Sleeping pattern (2)  E- 其他other (12)
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19	我認為維持良好睡眠質素的環境因素，第1位是: I think the most important factor is
	A- 光線 Lighting (1)  B- 噪音 Noisy (5)  C- 睡房的色調 Color of bedroom (1)  D- 傢俱的擺設 Setting of furniture (2)  E- 溫度 Temperature (4)  F- 通風 Ventilation (2)  G- 其他 Others (1)
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20	我認為維持良好睡眠質素的環境因素，第2位是: I think the 2nd important factor is
	A- 光線 Lighting (4)  B- 噪音 Noisy (1)  C- 睡房的色調 Color of bedroom (0)  D- 傢俱的擺設 Setting of furniture (1)  E- 溫度 Temperature (4)  F- 通風 Ventilation (5)  G- 其他 Others (1)
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