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Survey about Satisfaction with Sleep, Nightmares, and Feelings
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
How satisfied are you with the quality of your sleep?
Please choose the option that best reflects your level of satisfaction.
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
2
Rate your experience with nightmares (if any) on a scale from 1 to 10.
Please rate your experience with nightmares, with 1 being the lowest and 10 being the highest.
3
Describe how you feel after waking up from a nightmare.
Please provide a brief description of your emotional responses after waking up from a nightmare.
4
Do you often experience difficulties falling asleep?
Please select Yes or No.
Yes
No
5
On average, how many hours of sleep do you get per night?
Please provide the approximate number of hours you typically sleep per night.
6
Do you feel refreshed in the morning after a night's sleep?
Please select Yes or No.
Yes
No
7
How often do you have nightmares?
Please select the frequency that best represents how often you have nightmares.
Rarely
Sometimes
Frequently
Almost every night
8
Have you ever experienced sleep paralysis?
Please select Yes or No.
Yes
No
9
What do you usually do when you can't fall asleep?
Please describe your typical actions when experiencing difficulty falling asleep.
10
How do you feel during the day after having a nightmare?
Please provide insight into how nightmares affect your daily emotions.
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