Investigating the use of CBD for insomnia

We want to understand your experiences to date with insomnia

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* 1. Please enter your full name

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* 2. Please enter your email address

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* 3. What is your date of birth?

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* 4. Which symptoms do you suffer from?

Difficulty falling asleep at night

Waking up during the night

Waking up too early

Not feeling well-rested after a night's sleep

Daytime tiredness or sleepiness

Irritability, depression or anxiety

Difficulty paying attention, focusing on tasks or remembering

Increased errors or accidents

Ongoing worries about sleep

Other (please specify)

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* 5. Are you taking any prescription medication for insomnia?

No

Yes (please specify)

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* 6. Please indicate which type(s) of CBD products have you tried before

Oils

Capsules

Sprays

Vapes

Edibles

None

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* 7. What dose of CBD are you taking per day? (Please specify dose in milligrams if known)

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* 8. Please indicate which symptoms, if any, you felt the CBD improved or provided relief for

Difficulty falling asleep at night

Waking up during the night

Waking up too early

Not feeling well-rested after a night's sleep

Daytime tiredness or sleepiness

Irritability, depression or anxiety

Difficulty paying attention, focusing on tasks or remembering

Increased errors or accidents

Ongoing worries about sleep

Other (please specify)

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* 9. Please share your story and experience in the box below.

Please note, completion of this questionnaire is performed under the terms and conditions set out on the previous page.