Considering the past week,

First Name*

Surname*

Email*

What time did you go to sleep?*

:

What time did you get out of bed in the morning?*

:

On average how long did it take you to get to sleep?*

Minutes

What was your sleep disturbed by? (Select all that apply)*

On average how many hours of sleep did you get per night?*

Hours

When you woke in the morning, how did you feel?*

Have you experienced any adverse reactions from following the SleepDrops programme? (Select all that apply)*

Considering your energy throughout the day. How would you rate your energy?*

(1 = can't get out of bed, 10 = I can take on the world)

How easy did you find the SleepDrops programme?*

What level of improvement have you experienced in your sleep?*

(1 = none so far, 10 = I haven't slept this great in years)

What level of improvement have you experienced in your overall wellbeing?*

(1 = none so far, 10 = I feel like a new me!)

Do you have any other comments?

Comments: