Please answer the following:
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What time do you get in bed? *
Time
:
What time do you actually fall asleep? *
Time
:
What is the last thing you do before falling asleep? *
Do you sleep through the night? *
If not, describe why:
What time do you wake up? *
Time
:
What time do you get out of bed? *
Time
:
What is the first thing you do after waking up or getting out of bed? *
Age *
How long has this schedule been a pattern for you?
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