Initial Fatigue Survey

Description:

Please fill out this survey to register for participation in the Offshore Fatigue Survey.

If you consent to participating in this project your personal data and information will not be used in the final University project report.


What is your full name?

What is your email address?

What is your date of birth?

What is your gender?



Do you have any medical or physical conditions that affect your sleep?



Please provide a brief description if answer to previous question is yes. You may skip this question if you prefer not to answer.

Are there any family circumstances that could affect your sleep? E.g. New born baby, children, dependants, etc. You may skip this question if offshore

What is your current job position/role?

What swing do you work?






Do you short change during your swing/hitch?




What is your home airport for travel to work? Skip if N/A

Do you give your consent to your sleep being monitored and the resulting data used in a university project paper. Type YES or NO