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TROUBLE SLEEPING?
Do you have a hard time getting back to sleep?
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* Indicates required question
Email
*
Your email
Out of 7 nights in a row, how many times do you wake up in the middle of the night?
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1
2
3
4
5
6
7
What is easier for you...falling asleep or staying asleep?
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Falling asleep
Staying asleep
Check all the responses that best describe your sleep overall:
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I wake up refreshed
I wake up still sleepy / groggy
I love to go to bed
I use CPAP
I do not use CPAP, but I DO snore
I pretty much go to bed and wake around the same time, 7 days a week
I like to sleep in on the weekends
Required
It must be totally dark -- No teeny tiny led lights anywhere -- curtains -- sleep mask
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Choose
True
False
It must be totally quiet: squishy ear "sound dampeners" inside my ear canal
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Choose
True
False
How would I rate my sleep overall, on a 1-10 scale?
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1
2
3
4
5
6
7
8
9
10
If you could improve in only one area of your "sleep hygiene," (getting ready for bed), what would it be?
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Your answer
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