5 Question Sleep Survey Question Title * 1. How Would You Rate Your Quality Of Sleep? 0 100 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 2. Do you typically wake up in the middle of the night? Yes No Question Title * 3. What time do you wake up in the middle of the night? 12:00AM - 1:00AM 1:00AM - 2:00AM 2:00AM - 3:00AM 3:00AM - 4:00AM 4:00AM - 5:00AM 5:00AM - 6:00AM N/A Question Title * 4. How Long does it take for you to get back to sleep? less than 10 minutes 10 - 30 minutes 30 - 60 minutes More than an hour Question Title * 5. If you think of yourself as a battery, how recharged are you when you wake up? 0 100 Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 6. Name Question Title * 7. Email Done