30 DAY SLEEP CHALLENGE QUESTIONNAIRE – followup 1 30 Day Sleep Better Challenge – Follow up 2 National Sleep Foundation – Health Sleep Index Questionnaire Survey*First NameLast NameAgeGenderHow many childrenEmail*Considering the last 30 days, what level of improvement have you experienced in your overall wellbeing? (1 being none, 10 being absolutely fantastic).*12345678910Thinking about the overall 30 Day Sleep Better Challenge, how easy was it to follow your programme? (1 being really quite challenging, 10 being super easy).*12345678910What level of improvement have you experienced in your sleep? ( 1 being no improvement at all and 10 being absolutely massive improvement).*12345678910Are you now sleeping through the night?*YesMostlySometimesNeverHow many nights per week do you wake up in the night?*01234567How many times do you wake up during the night?*What is the longest time you are awake for?*MinutesWhen waking during the night, did you use your SleepDrops for Adults / Menzzz / Menopauzzz to help go back to sleep?*YesNoConsidering where you are now, how many nights per week do you have trouble falling asleep?*01234567How long does it take you to fall asleep, from the time you start trying to go to sleep?*Less than 5 minutes5-10 minutes10-20 minutes20-30 minutes30-40 minutes40-50 minutes50-60 minutes60 minutes or moreConsidering the last 30 days, do you feel that you are sleeping more deeply? (less tossing and turning, less easily woken by noises/ pets/people, less snoring or twitching).*YesNoSometimesConsidering how you feel within 30 minutes of waking, how do you feel?*TiredSomewhat refreshedRefreshedReady to go!Considering your energy throughout the day. How would you rate your energy? (1 being can’t get out of bed, 10 being “I can take on the world”)*12345678910After participating in the SleepDrops 30 Day Sleep Better Challenge: Do you feel you are better able to manage your stress?*YesNoYour programme included 2 boxes of Essential Sleep and Stress Nutrients. How many sachets do you have left?*sachetsHow often did you use the Daytime Revive?*Not at all – I forgot.Sometimes – I tried!As I was asked to, 4 times per day.All of the time – It’s great!Did you experience any adverse reactions to any of the recommended products?*Loose bowel movementsHeadacheFeeling groggy in morningOver sleepingNoneDid you stop taking any products?*YesNoWhich product did you stop taking and why?*As a result of participating in this 30 Day Sleep Challenge: Have you also made efforts to improve other areas of your life or health? (Please tick all that apply):* Overall prioritizing sleep Improved nutrition Exercising more Cutting back on alcohol Cutting back on coffee Cutting back on junk food Nothing 🙁 Considering how informative, easy to participate and how much better you feel after only 30 days on the SleepDrops Sleep Better Challenge, would you recommend this programme to your friends and family?*YesNoCould you please let us know how we could improve the SleepDrops programme?* National Sleep Foundation – Health Sleep Index Questionnaire This is the internationally recognized health sleep questionnaire that we got you to fill out before the challenge and we do appreciate the extra 2 minutes of effort to complete these questions. In general, how would you rate your sleep quality? Would you say it's:*excellentvery goodgoodonly fairpoorThinking about just the past 7 days, what time did you most often go to bed on workdays? Please answer about weekdays if you did not work last week.* : HH MM AM PM What about on non-work days or weekends – what time did you most often go to bed on those days?* : HH MM AM PM What time did you most often wake up for the day on work days or weekdays?* : HH MM AM PM What about on non-work days or weekends – what time did you most often wake up for the day on those days?* : HH MM AM PM During the past 7 days, how many days did you wake up feeling well-rested, if any?*01234567How many nights did you have trouble falling asleep?*01234567And how many nights did you have trouble staying asleep?*01234567Still thinking about the past 7 days, how many days did poor or insufficient sleep significantly impact your daily activities, like your work performance, socializing, exercising, or other typical activities?*01234567How many days did you fall asleep without intending to, such as dozing off in front of the TV or in any other situation?*01234567How many nights did you take over-the-counter or prescription medication to help you sleep?*01234567How many hours of sleep do you need per day to be well-rested and feel your best?*Please enter a value between 0 and 24. This iframe contains the logic required to handle Ajax powered Gravity Forms.