myWaves Sleep Feedback Questionnaire – MyWaves

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MyWaves Sleep Feedback Questionnaire

Please fill out the following to compare your sleep before and after using MyWaves. This information will help us understand differences, improvements and to assess the user experience.

Name

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1. Please rate the SEVERITY of your sleep issues BEFORE and AFTER using MyWaves

BEFORE MyWaves

Difficulty falling asleep:

0 None 1 Mild 2 Moderate 3 Severe 4 Very

Difficulty staying asleep:

0 None 1 Mild 2 Moderate 3 Severe 4 Very

Problem waking up too early

0 None 1 Mild 2 Moderate 3 Severe 4 Very

USING MyWaves

Difficulty falling asleep:

0 None 1 Mild 2 Moderate 3 Severe 4 Very

Difficulty staying asleep:

0 None 1 Mild 2 Moderate 3 Severe 4 Very

Problem waking up too early

0 None 1 Mild 2 Moderate 3 Severe 4 Very

Describe the impacts on the above sleep characteristics from using the MyWaves product:

2. Do you feel like you experienced more deep sleep from using the product?

Yes No

3. Do you feel more rested as a result of using the product?

Yes No

4. Do you toss and turn more/less while using the product?

Yes No

5. Has the length of sleep changed?

Yes No

6. Do you feel more/less rested the next day?

Yes No

7. Are you more/less susceptible to outside noises as a result of using the product?

Yes No

8. Does using the product make it easier to motivate yourself to go to bed?

Yes No

9. Is there anything else we should know about your experience using MyWaves?

Yes No

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