Restful Sleep Challenge

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Congratulations on completing the Restful Sleep Challenge, which runs February 15-February 28.

Please complete this form by midnight on February 28 to be included in the prize drawing, which will be announced on March 1. Participants must be an adults (18+) and a resident of Montana to win a prize.

This is the final challenge in the 2020/2021 WINter Wellness Challenges.

If you need accommodations to participate or have questions, please contact Katelyn Andersen, MSU Extension Agent, MSU Ravalli County Extension Office at 375-6611 or ravalli@montana.edu.

The Montana State University Extension is an ADA/EO/AA/Veteran’s Preference Employer and Provider of Educational Outreach.

Email *

First Name *

Last Name *

Phone number *

What is your zipcode? *

What did you learn from the Challenge video? *

What sleep technique was the most helpful to you? *

Did this challenge enhance your life? *

Yes

How did completing this challenge impact your thoughts and mood? How did completing this challenge impact your relationships with other people? Please describe any changes you noticed. *

There are different prizes available, depending on where you live in Montana! Please check the answer that best describes you. *

Ravalli County resident

MSU Extension employee

Montana resident

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms