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1
Question 1 of 4
Never
Rarely
Often
Every Day
In the last month, how often do have issues falling asleep?
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In the last month, how often do have issues falling asleep?
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Often
Row 0, Column 2
Every Day
Row 0, Column 3
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2
Question 2 of 4
Never
Rarely
Often
Every day
In the last month, how often do you feel tired or fatigued during the day?
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In the last month, how often do you feel tired or fatigued during the day?
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Often
Row 0, Column 2
Every day
Row 0, Column 3
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3
Question 3 of 4
Never
Rarely
Often
Every day
In the last month, how often do you use electronic devices (TV, iPhone, iPad, Kindle) in the evening before bed?
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In the last month, how often do you use electronic devices (TV, iPhone, iPad, Kindle) in the evening before bed?
Never
Row 0, Column 0
Rarely
Row 0, Column 1
Often
Row 0, Column 2
Every day
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4
Question 4 of 4
Never
Rarely
Often
Every day
In the last month, how often do you use overhead lights, lamps, or other light sources in your bedroom, before sleep?
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In the last month, how often do you use overhead lights, lamps, or other light sources in your bedroom, before sleep?
Never
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Rarely
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Often
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Every day
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5
Name
First Name
Last Name
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6
Email
example@example.com
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7
Your Total Score
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