This questionnaire consists of a series of statements that describe your physical or psychological well-being or your activities in the past three days and nights.

Please select the answer that most closely reflects your thoughts and activities. Indicate how often each statement was right in your case in the past three days and nights.

For each statement there are seven possible answers. Please do not leave any statements blank. If you are unsure which answer to choose, select the one that most closely applies to you.