Beat INSOMNIA without medication: A holistic approach
Please submit your answers below.
Email address *
Full name *
Your answer
Phone (including country code) *
Your answer
Age *
Your answer
Level of commitment and effort you are willing to put into this program *
Poor
Good
Excellent
Level of effort you are willing to put into this program
How soon are you willing to start *
Not sure
Thinking about it
Hopefully soon
Tomorrow
Right NOW
How soon are you willing to start this program?
How is your sleep right now? *
Nope not me
Me sometimes
Yep that's me
I struggle to fall asleep at the beginning of the night
I fall asleep fast but wake up in the middle of the night.
I wake up in the middle of the night but go back to sleep easy.
I wake up during the night and cant fall back asleep for a while
I wake up earlier than I wish.
I am a light sleeper.
I take sleep medication.
I want to stop taking sleep medication.
What would you like to gain from this program? *
Your answer
How much are you currently spending on sleep medication? *
Your answer
List all diagnosed medical conditions *
Your answer
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