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Insomnia Survey


Thank you for participating in our survey.  Your responses are anonymous.  

Use the arrows/buttons at the bottom of the pages to move through the survey. Questions marked with an asterisk are required.

Any information you provide will be used in accordance with our Privacy Notice.

1. How old are you? *This question is required.
2. What is the highest level of education you have completed?  *This question is required.
2. What sex were you assigned at birth (on your original birth certificate)?  *This question is required.
2. Which of the following statements best applies to you? *This question is required.