ShadowSoldier
Veteran X
Hey, im doing a project in a university class, could u guys help me out by filling out the survey ?
1. What gender are you? M__ F__
2. Please check an age bracket that applies to you:
_12-14
_15-19
_20-24
_25-34
_35-44
_45-54
_55-64
_65 and over
3. Do you frequently suffer from insomnia (Lack of sleep) at night?
Yes__ No__
4 Do you recurrently suffer from memory loss or forgetfulness?
Yes__ No__
5. Do you feel like you have an on going lack of motivation in everyday tasks?
Yes__ No__
6. Do you often become agitated, or have feelings of restlessness?
Yes__ No __
7 Do you habitually suffer from feelings of extreme sadness?
Yes__ No__
8. Do you commonly suffer from anxiety and fear?
Yes__ No__
9. Do you often have trouble keeping your concentration on tasks that you are doing?
Yes__ No__
10. Do you regularly have feelings of loneliness?
Yes__ No__
1. What gender are you? M__ F__
2. Please check an age bracket that applies to you:
_12-14
_15-19
_20-24
_25-34
_35-44
_45-54
_55-64
_65 and over
3. Do you frequently suffer from insomnia (Lack of sleep) at night?
Yes__ No__
4 Do you recurrently suffer from memory loss or forgetfulness?
Yes__ No__
5. Do you feel like you have an on going lack of motivation in everyday tasks?
Yes__ No__
6. Do you often become agitated, or have feelings of restlessness?
Yes__ No __
7 Do you habitually suffer from feelings of extreme sadness?
Yes__ No__
8. Do you commonly suffer from anxiety and fear?
Yes__ No__
9. Do you often have trouble keeping your concentration on tasks that you are doing?
Yes__ No__
10. Do you regularly have feelings of loneliness?
Yes__ No__