ketOntack sleep status questionnaire

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Thank you for participating in the ketOntrack sleep status questionnaire.

The questionnaire is meant to create self-awareness of your quality of sleep and support your coach to better define next steps and actions.

This questionnarie is based on the work from D.J.Buysee "Sleep Health : Can we define it?"

Email *

Satisfaction *

Are you satisfied with your sleep?

Rarely / Never

Always

Alertness *

Do you stay awake all day without dozing?

Rarely / Never

Always

Timing *

Are you asleep or trying to sleep between 2am - 4am?

Rarely / Never

Always

Efficiency *

Do you spend less than 30 minutes awake at night? (including time to fall asleep)

Rarely / Never

Always

Duration *

Do you sleep between 6 and 8 hours per day?

Rarely / Never

Always

Expand briefly the reasons of your rating *

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