"The Magic Mirror" Solo Harp CD Survey

Scientific Arts Foundation's survey for The Magic Mirror/Help Soldiers Sleep CD

The Scientific Arts Foundation is grateful for your participation in this short survey. Thank you.

1. Approximately how many times have you listened to "The Magic Mirror" solo harp CD?

	1-7	8-14	15-21	22+
Number of times I've listened to "The Magic Mirror" CD	*Approximately how many times have you listened to "The Magic Mirror" solo harp CD? Number of times I've listened to "The Magic Mirror" CD 1-7	Number of times I've listened to "The Magic Mirror" CD 8-14	Number of times I've listened to "The Magic Mirror" CD 15-21	Number of times I've listened to "The Magic Mirror" CD 22+

Other (please specify)

2. At what time during the day do you most often listen to "The Magic Mirror" CD?

	Morning	Afternoon	Evening	Before Bed	It varies with each day
I usually listen to "The Magic Mirror"	*At what time during the day do you most often listen to "The Magic Mirror" CD? I usually listen to "The Magic Mirror" Morning	I usually listen to "The Magic Mirror" Afternoon	I usually listen to "The Magic Mirror" Evening	I usually listen to "The Magic Mirror" Before Bed	I usually listen to "The Magic Mirror" It varies with each day

Other (please specify)

3. How stressful is your daily life?

	Low	Moderate	High	Extreme
My daily stress level is	*How stressful is your daily life? My daily stress level is Low	My daily stress level is Moderate	My daily stress level is High	My daily stress level is Extreme

Other (please specify)

4. What is currently the most stressful situation in your life?

What is currently the most stressful situation in your life?

5. Before receiving "The Magic Mirror" CD, did you get restful sleep at night?

	Never	Rarely	Sometimes	Most of the time	Always
Before receiving "The Magic Mirror" CD I slept restfully at night	*Before receiving "The Magic Mirror" CD, did you get restful sleep at night? Before receiving "The Magic Mirror" CD I slept restfully at night Never	Before receiving "The Magic Mirror" CD I slept restfully at night Rarely	Before receiving "The Magic Mirror" CD I slept restfully at night Sometimes	Before receiving "The Magic Mirror" CD I slept restfully at night Most of the time	Before receiving "The Magic Mirror" CD I slept restfully at night Always

Other (please specify)

6. After receiving and listening to "The Magic Mirror" CD for a while, do you feel you are getting restful sleep at night?

	Never	Rarely	Sometimes	Most of the time	Always
Now that I've listened to "The Magic Mirror" CD for a while, I get restful sleep	*After receiving and listening to "The Magic Mirror" CD for a while, do you feel you are getting restful sleep at night? Now that I've listened to "The Magic Mirror" CD for a while, I get restful sleep Never	Now that I've listened to "The Magic Mirror" CD for a while, I get restful sleep Rarely	Now that I've listened to "The Magic Mirror" CD for a while, I get restful sleep Sometimes	Now that I've listened to "The Magic Mirror" CD for a while, I get restful sleep Most of the time	Now that I've listened to "The Magic Mirror" CD for a while, I get restful sleep Always

Other (please specify)

7. Check any of the following that you are currently using to help you sleep:

	"The Magic Mirror" CD	Prescriptions	Over the counter sleep aids	Alcohol	Watching TV	Nothing
To help me sleep, I use	*Check any of the following that you are currently using to help you sleep: To help me sleep, I use "The Magic Mirror" CD	To help me sleep, I use Prescriptions	To help me sleep, I use Over the counter sleep aids	To help me sleep, I use Alcohol	To help me sleep, I use Watching TV	To help me sleep, I use Nothing

Other (please specify)

8. After listening to "The Magic Mirror" CD for awhile, what improvements, if any, have you noticed?

	Sleep better	Less anxious	More relaxed	More able to focus	More rested	No change
Improvements I've noticed	*After listening to "The Magic Mirror" CD for awhile, what improvements, if any, have you noticed? Improvements I've noticed Sleep better	Improvements I've noticed Less anxious	Improvements I've noticed More relaxed	Improvements I've noticed More able to focus	Improvements I've noticed More rested	Improvements I've noticed No change

Other (please specify)

9. Gender & Age Range

Gender & Age Range Male: 18-29yrs

Male: 30-49yrs

Male: 50-64yrs

Male: 65-79yrs

Male: 80+yrs

Female: 18-29yrs

Female: 30-49yrs

Female: 50-64yrs

Female: 65-79yrs

Female: 80+yrs

10. Are you a member of the military? (check all that apply)

Are you a member of the military? (check all that apply) No

Yes-Air Force

Yes-Air Force Reserve

Yes-Air Guard

Yes-Army

Yes-Army Reserve

Yes-Army National Guard

Yes-Coast Guard

Yes-Coast Guard Reserve

Yes-Marine Corps

Yes-Marine Corps Reserve

Yes-Navy

Yes-Navy Reserve

Yes-Deployed Overseas

Yes-Retired

"The Magic Mirror" Solo Harp CDExit this survey

Scientific Arts Foundation's survey for The Magic Mirror/Help Soldiers Sleep CD

1. Approximately how many times have you listened to "The Magic Mirror" solo harp CD?

2. At what time during the day do you most often listen to "The Magic Mirror" CD?

3. How stressful is your daily life?

4. What is currently the most stressful situation in your life?

5. Before receiving "The Magic Mirror" CD, did you get restful sleep at night?

6. After receiving and listening to "The Magic Mirror" CD for a while, do you feel you are getting restful sleep at night?

7. Check any of the following that you are currently using to help you sleep:

8. After listening to "The Magic Mirror" CD for awhile, what improvements, if any, have you noticed?

9. Gender & Age Range

10. Are you a member of the military? (check all that apply)

"The Magic Mirror" Solo Harp CD
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