Sleep Routine Survey

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* 1. Overall, how would you rate your sleep quality?

Very positive

Positive

Neutral

Negative

Very negative

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* 2. What time do you normally go to bed?

7 - 8pm

8 - 9pm

9 - 10pm

10 - 11pm

11 - 12pm

12 - 1am

1 - 2am

2 - 3am

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* 3. What time do you normally wake up?

3 - 4am

4 - 5am

5 - 6am

6 - 7am

7 - 8am

8 - 9am

9 - 10am

10 - 11am

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* 4. How old are you?

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* 5. Do you currently use any sleep apps?

Yes

Unsure

Yes, please specify which.

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* 6. Take me through your sleep habits. What do you do to prepare yourself for bed? Do you shower, have specific drinks, comfort items you use, how do you relax?

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* 7. List any products you use...try to be specific so we can find them and try them too

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* 8. Do you use a weighted blanket?

Always

Usually

Sometimes

Rarely

Never I don't own one

Other (please specify)

Sleep Routine Survey

Question Title

* 1. Overall, how would you rate your sleep quality?

Question Title

* 2. What time do you normally go to bed?

Question Title

* 3. What time do you normally wake up?

Question Title

* 4. How old are you?

Question Title

* 5. Do you currently use any sleep apps?

Question Title

* 6. Take me through your sleep habits. What do you do to prepare yourself for bed? Do you shower, have specific drinks, comfort items you use, how do you relax?

Question Title

* 7. List any products you use...try to be specific so we can find them and try them too

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* 8. Do you use a weighted blanket?

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* 9. Do you have any other comments, questions, or concerns?