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* 1. How many hours of sleep do you get per night

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* 2. Do you take any of the following sleep aids?

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* 3. During the day I crave sweets

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* 4. During the day I feel like i need a nap.

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* 5. I have an alcoholic drink like wine or spirits at dinner.

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* 6. I wake up in the middle of the night to go to the bathroom, or just cant sleep.

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* 7. Enter your email to receive your results.

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