Which of these describes you better?
 
When I wake up in the morning, my energy level is:
 
Throughout the day, my energy level:
 
What’s the biggest sleep issue you have?
 
When I think of my sleep in general, I would say:
 
At 10 pm, I feel like:
 
I have a hard time getting tasks done because:
 
When I think of my ability to focus, in general, I would say:
 
During the middle of the day, my focus:
 
When I wake in the morning, my mood is:
 
In regard to my mood, in general, I would say:
 
When I wake in the morning, my mood is:
 
I would describe my approach to diet and exercise as:
 
When I think of how my body feels, I would say:
 
The most common symptoms I feel in my body are:

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