SEASONALITY SURVEY

Welcome to the Seasonality Survey. This research is being conducted in the Department of Social Sciences, the University of Vaxjo, Sweden. Your participation will provide valuable information concerning the relationships between season, geographic latitude and a number of other variables such as weight, diet, mood and sleep patterns. Full confidentiality will be observed with respect to all information supplied. Results will be published only as anonymous statistical data.

The questionnaire below is based on the Seasonal Pattern Assessment Questionnaire (SPAQ) developed by Norman E. Rosenthal and collegues at National Institutes of Health, Bethesda, Maryland, U.S.A.

Please indicate in the final section of the questionnaire if you wish to receive by e-mail a copy of the project's research findings.

Please carefully answer the following questions. You may use your mouse or tab key to move within the questionnaire.

Personal Details:

Full Name.....
Address.......

Age [years]....
Month of Birth:

Years of Education:

Less than four years of high school.
High school only.
1-3 years post high school.
4 or more years post high school.

Sex:

Male.
Female.

Other Information:

How many years you have lived in this climatic area.........

Seasonal and Climatic Fluctuations:

The purpose of this form is to find out how your mood and behaviour change over time.
NOTE: We are interested in YOUR experience; NOT OTHERS you may have observed.

To what degree do the following change with the seasons?

Sleep Length:

Social Activity:

Mood (overall feeling of well being):

Weight:

Appetite:

Energy Level:

In the following questions, please mark all applicable months. This maybe a single month, a cluster of months or any other grouping. If no particular month(s) stand out as extreme on a regular basis, please leave the row unmarked.

At what time of year do you......

J F M A M J J A S O N D
Feel best:
Gain most weight:
Socialize most:
Sleep least:
Eat most:
Lose most weight:
Socialize least:
Feel worst:
Eat least:
Sleep most:

Using the scale below, indicate how the following weather changes make you feel.

Cold weather:

Hot weather:

Sunny days:

Grey cloudy days:

Long days:

Short days:

If you do experience changes with the seasons, do you feel that these are a problem for you?

Yes.
No.

If yes, is this problem:

Mild.
Moderate.
Marked.
Severe.
Disabling.

Further Information


Do you regularly consume beverages containing caffeine?

yes
no

If yes, please indicate your typical daily consumption of:

Coffee.... oz cl
Tea........ oz cl
Cola....... oz cl

Do you have any additional comments?

Your e-mail address....

Please indicate if you would like to receive by e-mail a copy of the project's research findings.
Yes.
No.

THANK YOU FOR COMPLETING THIS QUESTIONNAIRE

For further information contact: kavurma@swipnet.se