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Application
First Name
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Last Name
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Email Address
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What best describes you?
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What best describes you?
Executive or C-suite leader
Founder or co-founder
Entrepreneur or business owner
High performing professional
Other
What's your biggest sleep challenge right now?
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What's your biggest sleep challenge right now?
I can't fall asleep. My mind won't stop running at night
I fall asleep fine but wake up in the middle of the night and can't get back to sleep
I sleep through the night but wake up exhausted no matter how many hours I get
All of the above. It varies night to night
It's a different challenge for me
How long have you been struggling with your sleep?
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How long have you been struggling with your sleep?
A
Less than 6 months
B
6 months to a year
C
1 to 3 years
D
More than 3 years
What have you already tried to improve your sleep? (Select all that apply)
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What have you already tried to improve your sleep? (Select all that apply)
Melatonin or other supplements
Prescription sleep medication
Meditation or breathing apps
Therapy or counseling
Dietary or lifestyle changes
Sleep hygiene protocols
Other programs or coaches
Nothing yet
Do you currently use any sleep tracking tools?
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Do you currently use any sleep tracking tools?
Yes, a wearable like Oura, Whoop, or Apple Watch
Yes, a phone app
I have in the past but not currently
No I don't track my sleep
Do you have any diagnosed sleep disorders such as sleep apnea, insomnia disorder, or restless leg syndrome?
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Do you have any diagnosed sleep disorders such as sleep apnea, insomnia disorder, or restless leg syndrome?
Yes, diagnosed and currently being treated
Yes, diagnosed but not currently being treated
I suspect I might but haven't been diagnosed
No diagnosed sleep disorders
What would change in your life if you slept well consistently?
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This is the most important question on the form. Take a minute with it.
)
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