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

* 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"

* 3. How stressful is your daily life?

  Low Moderate High Extreme
My daily stress level is

* 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?

  Never Rarely Sometimes Most of the time Always
Before receiving "The Magic Mirror" CD I slept restfully 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?

  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

* 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

* 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

* 9. Gender & Age Range

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

T