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Sleep Pre-Study Survey
Please fill out this survey to the best of your ability so that we can obtain an accurate reading of how you're feeling before the study begins.
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* Indicates required question
Email
*
Your email
Who invited you to join this oil study?
*
Your answer
Identification: this is to link both of your surveys together. Use the following example to input your ID: First name and last name initial with birth year: My name is Diane Sanders and I was born in 1967, so my ID will be: DS1967
*
Your answer
How often do you struggle with sleep?
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Almost Never
Sometimes
Almost Always
Always
Other:
What type(s) of sleep problems do you experience? (ex: falling asleep, staying asleep, restful sleep, etc.)
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Your answer
How severe are your sleep issues when they occur?
*
Being Low
1
2
3
4
5
6
7
8
9
10
Being High
How long has this been a problem?
*
Less than 1 Year
1-3 Years
3-7 Years
7+ Years
How ready are you for this to change?
*
Not very ready
Somewhat ready
Very ready
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