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Sleep Questionnaire
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* Indicates required question
When it comes to sleep, what is your BIGGEST challenge?
*
Falling asleep
Staying asleep
Falling back to sleep
Not enough hours in the day
Other:
On average, how many hours of sleep do you get?
*
Less than 4 hours
4-5 hours
5-6 hours
6-7 hours
7-8 hours
8-9 hours
More than 9 hours
What time do you typically go to bed?
*
Before 8pm
8pm to 10pm
10pm to 12 midnight
12 midnight to 2am
After 2:00am
No consistent time due to work schedule
Inconsistent due to travel
Other
What time do you wake up?
*
Before 5am
5:00-5:59am
6:00-6:59am
7:00-7:59am
8:00-8:59am
After 9am
No consistent time due to work schedule
Inconsistent due to travel
Other
Do you hit snooze?
*
Yes, one time.
Yes, more than once.
No
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