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Exit Survey
 
 
Hello. I am gathering information about sleep issues for an upcoming project and I would greatly appreciate it if you took a minute and completed this survey. I value your time and I thank you.
 
 
 
Do you have trouble falling asleep?
 
Yes
 
No
 
 
 
Do have trouble staying asleep?
 
Yes
 
No
 
 
 
Do you take sleep aids tor sleep?
 
Yes, prescription
 
Yes, over the counter
 
Yes, natural
 
No
 
 
 
What natural aids do you use?
 
Tea
 
Pills
 
Other
 
 
 
Do you snore?
 
Yes
 
No