SLEEP STUDY TEST

                                           SLEEP QUESTIONARE TEST

Do you sleep through the night?                                                              

 yes  or   no

How many nights per week do you sleep completely through the night?       

0,1, 2, 3, 4, 5, 6, 7

How many times do you wake up at night to go to the bathroom?              

 0,1, 2, 3, 4, 5, 6, 7,

Do you feel sleepy in the afternoon?                                                        

  yes or no

If could take a nap in the afternoon would you?                                       

   yes or no

Do you take afternoon naps during the week or weekend?                          

 yes or no

Do you feel tired after eating?                                                                  

  yes or no

Do you take medication to sleep?                                                             

  yes or no

Which meds do you consume to sleep at night?                     

 ambien, sonata, rozerem, lunesta.

Have you ever read the side effects of your sleeping pills?                         

   yes or no

How much money  do you spend on medication per month to sleep?    

 $50, $100, $150, $200

Do you take vitamins?                                                                             

  yes or no

How much do you spend a month on vitamins?                                  

  $50, $100, $150, $200

If  I had a nutritional product, and gave you one sample for free would you try it? 

 yes or no

If the product was less expensive than your current vitamins would you switch brands?                                  

  yes or no

Would you like to buy the product for retail or wholesale?                           

 retail or wholesale

How many friends do you know that complain of not sleeping?                    

 5, 10 , 15, 20

If this product was successful with your conditon would you tell your friends? 

 yes or no

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