Munich Chronotype Questionnaire (for shiftworkers)

Dr. M.C.M. Gordijn
Postbus 14
9750 AA Haren
e-mail: tvrbiol@rug.nl

[NL]	Munich Chronotype Questionnaire (for shiftworkers)

People arrange their daily lives differently according to their “chronotype,” i.e., when they go to bed and wake up. Our research tries to find the biological mechanisms behind the phenomenon of different “chronotypes.”

This page asks for your personal information. Information about your age, gender, etc., is essential for our analysis. Place should only be precise enough to establish the latitude and time zone. Finally, we ask your name and email to be able to contact you in case we wish to collect information from your extended family.

Please be assured that all items of your personal information will be handled with utmost confidentiality. Personal Data (age, name, address) will be separated from the rest of the questionnaire, so that upon submission, all subsequent processing will be done on anonymous datasets. In case a particular dataset is found to be of interest to us, we will look up the name of the respondent by an index that is automatically assigned to each submitted questionnaire.

Personal Data

(fields marked with * are required)

The following data are essential for the analysis of your chronotype to be comprehensive.
Birthdate*:	19, ,
Gender*:	Male / Female
Place*:
Height:	cm
Weight:	kg
The information you give in this section will enable us to contact you.
Name*:
Email*:
Phone number:
How did you learn about MCTQ?

Important: In the following sections, please give your answers as they hold true in your current, present-time situation. For changing conditions (for example, beginning of work), please choose the most frequent or approximate values.

Please describe your rotation system (how shift rotates, e.g. daily, weekly, etc.)

On workdays (early shift)

I get up at		o’clock.
I need		min to wake up.
I regularly wake up	before with	the alarmclock.
From		I am fully awake.
At around		o’clock I have an energy dip.
On nights before workdays I go to bed at		o‘clock...
...and then it takes me		min to fall asleep.
If I get the chance, I like to take a siesta/nap	Yes... No.	...and then I sleep for min. I would feel terrible afterwards
Time spent outdoors:	hr	min.

On workdays (late shift)

I get up at		o’clock.
I need		min to wake up.
I regularly wake up	before with	the alarmclock.
From		I am fully awake.
At around		o‘clock I have an energy dip.
On nights before workdays I go to bed at		o‘clock...
...and then it takes me		min to fall asleep.
If I get the chance, I like to take a siesta/nap	Yes... No.	...and then I sleep for min. I would feel terrible afterwards
Time spent outdoors:	hr	min.

On workdays (night shift)

I get up at		o‘clock.
I need		min to wake up.
I regularly wake up	before with	the alarmclock.
From		I am fully awake.
At around		o‘clock I have an energy dip.
On nights before workdays I go to bed at		o‘clock...
...and then it takes me		min to fall asleep.
If I get the chance, I like to take a siesta/nap	Yes... No.	...and then I sleep for min. I would feel terrible afterwards
Time spent outdoors:	hr	min.

On free days (only those without parties)

My dream would be to sleep till		o‘clock.
I normally wake up at		o‘clock.
If I wake up at around my normal (workday) time, I try to fall asleep again:	Yes... No.
If Yes, I sleep for another		min.
To wake up, I need		min.
From		o‘clock I am fully awake.
At around		o‘clock I have an energy dip.
On nights before free days I go to bed at		o‘clock...
...and then it takes me		min to fall asleep.
If I get the chance, I like to take a siesta/nap	Yes... No.	...and then I sleep for min. I would feel terrible afterwards
Average time I usually spend outdoors, exposed to direct sunlight:	hr	min.

Once I am in bed, I take something to read for		min, ...
...but generally I fall asleep in		min at most.

I prefer to sleep in a completely dark room...	Yes No
I wake up more easily when morning sun shines into my room...	Yes No

Self-assessment

After you have answered the preceding questions, you should have a feeling of the chronotype you belong to. If, for example, you like (and manage) to sleep quite a bit longer on free days than on workdays, or if you cannot get out of bed on Monday mornings, even without a Sunday-night party, then you are more likely a late type. If, however, you regularly wake up and feel fresh right from the moment you jump out of bed, and if you would go to bed early rather than to an evening concert, then you are more an early type. In the following questions, please characterize yourself and your family members in terms of early/late types.

I am	type
As a child I was	type
As a teenager I was	type
(In case you are older than 65) In my midlife I was	type

My parents are/were

Mother	type
Father	type

My siblings are/were

brother /sister	type
brother /sister	type
brother /sister	type
brother /sister	type
brother /sister	type
brother /sister	type
brother /sister	type

My partner (girl/boyfriend, spouse, significant other) is/was

type

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