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* 1. How Would You Rate Your Quality Of Sleep?

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i We adjusted the number you entered based on the slider’s scale.

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* 2. Do you typically wake up in the middle of the night?

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* 3. What time do you wake up in the middle of the night?

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* 4. How Long does it take for you to get back to sleep?

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* 5. If you think of yourself as a battery, how recharged are you when you wake up?

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i We adjusted the number you entered based on the slider’s scale.

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* 6. Name

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