Sleep Trial 2024 - Natural Lifestyle magazine

Full name *

Age *

Do you suffer with any of these symptoms? *

I have trouble falling asleep

I have trouble staying asleep

I wake up regularly in the night

I often wake up feeling tired.

I have trouble falling asleep - please rank the severity (1=not much/low, 10=a lot/high)

I have trouble staying asleep - please rank the severity (1=not much/low, 10=a lot/high)

I wake up regularly in the night - please rank the severity (1=not much/low, 10=a lot/high)

I often wake up feeling tired - please rank the severity (1=not much/low, 10=a lot/high)

If you are taking any medications, please indicate what these are

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Where did you hear about the trial?

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