Get Some Sleep
1. When was the last time you practiced your positive sleep habit?
2. How often do you practice your sleep habit?
(per week, on average)
Less than once per week
3. What did you learn from class that has been the most helpful for your sleep behavior in general?
4. Do you plan to take any of the following actions?
Seek professional help with sleep issues (via a counselor, therapist, etc.)
Visit a sleep clinic for observation
Revisit what I learned in class to create additional positive habits
No further plan at this time
5. If you have additional comments, please enter them here.
(If you would like the instructor to contact you, please include your email address here, or email
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