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Apply: Mastering Restful Sleep Program
This is the application for Mastering Restful Sleep Program (September 2022-November 2022). Last day to apply is 8/31/22 at 11:59pm EST. Your responses will be kept private. Application does not obligate you to ultimately join. If accepted, you will receive email directions about how to secure your spot. Program details can be found at
https://smartrestfulsleep.teachable.com/
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* Indicates required question
Email
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Your email
Do you value knowledge and science?
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Yes
No
Other:
Do you value being an independent thinker, working at your own pace, and being in charge of your own health data?
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Yes
No
Other:
Rate your level of "grit" to "do hard things."
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Low ("My fear tends to get the best of me")
1
2
3
4
5
High ("I can and have done hard things")
Please be honest: Did the tutorial "First Things First" lead to the decision that your sleep problems are a good fit for our programming?
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Yes
No
Other:
We like to set you up for success. Do you have Wednesday's at 11am EST available for our Zoom Sleep Q&A sessions from September through November? We offer meetings every other week and recommend attending at least monthly in order to get the most out of the program.
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Yes
No
Other:
Briefly describe your sleep problems.
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Your answer
How long have you suffered from sleep disruption, whether it is difficulty falling asleep, staying asleep, having restless sleep, waking up too early, only good sleep with meds, or some other variety:
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0-1 year
2-5 years
More than 5 years
How many nights per week do you have trouble with sleep?
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0-2
3-5
6-7
Varies greatly without a pattern
To help us meet specific needs within the programming, please identify your age range:
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25-39 years old
Younger than 40, but I have chronic health problems
40-64 years old
65+ and/or retired
Rate the degree to which you can give and receive warm, kind, and genuine communication, including about your sleep process.
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When I have poor sleep, this is impossible, or nearly impossible.
1
2
3
4
5
Even when I am sleep-deprived, I can do a pretty decent job of this.
Are you comfortable with the use of technology, such as getting on Zoom, downloading a PDF and scrolling/clicking through web-based lessons?
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Yes
No
Rate your level of excitement to wake up rested and restored?
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Low. I have given up. Just give me something easy to fix this sleep problem.
1
2
3
4
5
High. I can't wait!
Lastly, we have 2 questions that we hope you can help us with. It is challenging to get word out about our programs. Help us by telling us what you would enter in a web search if you were looking for a program like ours.
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Your answer
Similarly, do you use Facebook or other social media platform?
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Yes
No
Other:
If accepted but the program is already full, would you be able or interested in attending it with the next cohort?
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Yes
No
Other:
What email address do you want us to use to contact you?
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Your answer
What is your first name?
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Your answer
What is your last name?
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Your answer
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