Free Sleep Training: 7 Questions

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QUESTION 1: Which of the following sleep issues do you currently face?(Required)

(Select all that apply)

Difficulty falling asleep

Difficulty staying asleep

Waking too early in the morning

Unrefreshing sleep

Daytime fatigue

QUESTION 2: What is your gender?(Required)

Female

Male

Other

QUESTION 3: Which of the following websites do you use?(Required)

(Select all that apply)

Facebook

Twitter

YouTube

Instagram

None of these

QUESTION 4: Do you currently take prescription or over-the-counter medication for sleep?(Required)

Yes

QUESTION 5: What does it feel like to have insomnia? Describe your insomnia and its effects in as much detail as possible. How does insomnia make you feel? What's an average day like? What's an average night like? How would your friends describe the way insomnia is affecting you?(Required)

QUESTION 6: What would it feel like to get rid of your insomnia? Describe what it would feel like to get rid of your insomnia in as much detail as possible. What would an average day be like? What would an average night be like? How would your friends describe the change they see in you?(Required)

A few words about the last question...

Question 7 below is completely optional. If you do not feel comfortable answering it, please feel free to skip over it and submit the form without providing an answer.

QUESTION 7: Now you've thought about how good life would be without insomnia, how valuable would a life without insomnia be for you? If someone offered you a product or service that was GUARANTEED to improve your sleep, how much would you be willing and able to pay for that product or service?

Enter numbers only (words and letters not accepted).