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Visual Snow Questionnaire! Part 1

How long has it been since you started noticing VS symptoms?

Less than 1 year.

1-5 years.

5-10 years.

10-15 years.

More than 15 years.

On average, what time do you fall asleep every night?

Before 10 p.m.

10 p.m. - 11 p.m.

11 p.m. - 12 a.m.

12 a.m. - 1 a.m.

Later than 1 a.m.

How 'busy' would you classify your life to be?

Rarely, if ever busy.

Not very busy.

Somewhat busy.

Very Busy.

Extremely busy.

On average, how much time do you devote to relaxing your mind each day? I.e. Meditation, Deep Breathing, Mindfulness, etc.

No devoted time.

5-10 minutes.

10-30 minutes.

30-60 minutes.

More than 60 minutes.

How often do you feel content with that way things are in your life?

Rarely, if ever.

Not very often.

Somewhat often.

Very often.

Extremely often.

How often do you spend time outdoors?

Rarely, if ever.

Not very often.

Somewhat often.

Very often.

Extremely often.

How often do you exercise?

Rarely, if ever.

Not very often.

Somewhat often.

Very often.

Extremely often.

How accurate would the word "Peaceful" be at describing your internal thoughts on a day to day basis?

Not at all accurate.

Not very accurate.

Somewhat accurate.

Very accurate.

Extremely accurate.

On average, how much time do you spend looking at a digital screen each day? I.e Phone, T.V, Monitor, VR Headset, etc.

Less than 1 hour.

1-2 hours.

2-3 hours.

3-4 hours.

4-5 hours.

More than 5 hours.

Which age group do you fall under?

Under 10 years old.

10-20 years old.

20-30 years old.

30-40 years old.

40-50 years old.

50-60 years old.

60-70 years old.

Over 70 years old.

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