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Advisor Summit 2020 - Post-Session Survey - Sleep: Understand Your Needs
Thank you for taking the time to complete this survey, and for joining the "Sleep: Understand Your Needs for Optimal Performance" keynote with Dr. Melissa Milanak at the Advisor Summit 2020. Your responses are anonymous.
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* Indicates required question
Have you implemented any of the techniques you heard about during this keynote?
*
Yes
No
If you answered "Yes" to the last question, please share which techniques you have tried and or implemented.
Your answer
How satisfied are you with your current sleep?
*
Choose
Very
Somewhat
Not really
Not at all
2.
How many hours of sleep a day do you believe you get?
*
Add up the hours of sleep (the time you are actually sleeping) you get in total, include any naps during the day, and remember not to include the time you might be awake at night.
Choose
Less than 3 hours
4 hours
5 hours
6 hours
7 hours
8 hours
9 + hours
3.
Do you go to bed and get up at the same time every day?
*
Choose
Always
Most of the time
Sometimes
Rarely
Never
4.
Do you feel alert all day without feelings of sleepiness?
*
Choose
Always
Most of the time
Sometimes
Rarely
Never
5.
At night, when you get into bed, do you use your smart phone, read a physical book, ebook, or watch tv?
*
Choose
Always
Most of the time
Sometimes
Rarely
Never
6.
In general, are you concerned or worried about your own sleep patterns?
*
Choose
Yes
Somewhat
Not really
Not at all
7.
On average, how many times do you wake up during the night?
*
Choose
I do not wake up during the night
Once
Twice
Three times
Four times
Five or more times
8.
If you notice, at times, you wake during the night, what factors do you consider are disrupting your sleep?
*
Check all that apply.
I sleep through the night
I'm not sure, I just wake up
My partner
My child / children
A pet / pets
Environmental noise (i.e. neighbors, outdoor noise etc)
Other:
Required
9.
If you wake up during the night, how long do you anticipate you are awake for?
*
Choose
I generally do not wake up
Less than 1 hour
1-2 hours
2-3 hours
4+ hours
10.
Do you notice your energy dips during the day?
*
Choose
Always
Most of the time
Sometimes
Rarely
Never
11.
Do you experience feelings of anxiousness, exhaustion, or challenges with alertness or focus during the day?
*
Choose
Always
Most of the time
Sometimes
Rarely
Never
12.
Do you feel your sleep impacts your quality of life?
*
Choose
Always
Most of the time
Sometimes
Rarely
Never
Any other comments on your sleep you would like to make?
Your answer
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