Chapter XIV: Concerning unnatural causes of Sleep and Waking.
Chapter XVII: Of causes of long and short sleep.
APPENDIX D
QUESTIONNAIRE ON SLEEP
In order to get the facts about Sleep we sent a question sheet to a large number of persons selected by classes. We began with a thousand professors in order to get suggestions which might make the investigation more useful. The following request was sent out:
Please Fill Out and Return—
We shall be glad to supply additional copies of this slip upon request—we desire the largest number of replies possible and it is hoped the scientific interest of the subject will lead you to aid us in procuring them.
- Age Weight Height Health
- Married?
- Do you sleep well?
- How many waking hours in bed?
- How many hours’ sleep on an average, and at what times?
- What do you consider sufficient for yourself?
- Any difference during vacations?
- Do you use any means or devices for inducing sleep?
- Similar observations on members of your family, if any?
- Are your dreams usually rational or fantastic, pleasant or unpleasant?
- Do you have nightmare?
- Are you given to worry?
- Does physical, especially agricultural, work relieve this?
- Do you take artificial exercise, or does your work involve exercise?
- Appetite good? Simple diet or elaborate?
- Is the “sleep of the laboring man sweet” in reality?
- Name
- Profession
- Address
No scientifically complete tabulation and study of data has yet been made on Sleep.