Name
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Age Group
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Sex
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Email
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WhatsApp Phone Number
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Residence
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State city/Country
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#1. How many Hours of sleep do you typically get on a weekday night?
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Less than 5 hours
5 to 6 hours
6 to 7 hours
7 to 8 hours
More than 8 hours
#2. How would you rate your overall sleep quality from 1 - 10? Scale of 1 to 10 (1 = Terrible, 10 = Perfect)
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1
2
3
4
5
6
7
8
9
10
#3.
How often do you feel tired or unrefreshed during the day?
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All the time
Often
Occasionally
Rarely
Never
#4. Have you ever been told, or do you suspect, that you have a sleep-related health condition? (Select all that apply)
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No, nothing has been flagged
Snoring or sleep apnea
Insomnia
Teeth grinding or jaw clenching
Restless sleep ro movement disorder
I have not been checked but I am curious
#5. If you could solve one sleep problem tonight, which would it be? Please rank the following sleep goals from 1 to 6 based on importance to you.
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Falling asleep faster
Staying asleep through the night
Waking up feeling rested
Reducing stress or an overactive mind before bed
Sleeping at a more consistent time
Stopping my partner from snoring
Enter “1” = the most important goal, “2” = for the second most important, and continue until “6” for the least important goal. Each number should be used only once.
#6. Which product would help improve your sleep quality the most? Rank 1–5: 1 = Most important, 5 = Least important. Use each number once.
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Sleep supplements/ vitamins
Melatonin
Herbal tea (eg: Chorlmine tea)
White noise or sleep sounds
Sleep tracking device or wearable
Prescription medication
Chinese Medicine
Lighting
Other technology: ____ (please specific)
#7. How much would you be willing to spend per month on products that genuinely improve your sleep quality (for example, helping you feel more refreshed the next day even if your sleep duration stays the same)?
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Nothing; I would not pay for this
Under HKD 200
HKD 200 to HKD 500
HKD 500 to HKD 1,000
Over HKD 1,000
#8. | Do you currently track or measure your sleep?
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Yes, I track it regularly
I have tried it, but stopped
No, but I am curious about it
No, and I am not interested
#9. When did you last replace your mattress or main sleep surface?
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Within the last year
1 to 3 years ago
3 to 4 years ago
More than 5 years ago
I do not own my own mattress
#10. Which of the following would you consider trying if you knew it genuinely improved your sleep? (Select all that apply)
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A new mattress or bedding upgrade
A medical sleep assessment or body check
A wearable or sleep tracking device
A breathing or relaxation device
A sleep therapy or specialist consultation
Sleep-related health insurance coverage
Hormone and menopause
None of the above