SBFB Post-Survey - Hypnosis for an Empowered Life

Overall, how Helpful was the SBFB program for your sleep?*

What did you like about the program (check all that apply)?*

Powerpoints / Education
Hypnosis Files
Participation Interaction / Check-Ins
Handouts

What did you like the MOST about the program?*

Powerpoints / Education
Handouts
Hypnosis Files
Participant Interaction Time / Check-ins

How much did your SLEEP Improve during the program?*

How much did your FEELINGS about your sleep Improve during the program?*

How was the length of the program (4 weeks)?*

Too long (would like it a week shorter)
Just right
Too short (would like another week or two)

What time would you prefer the program to run?*

Noon was fine.
Evening would be nice.
Nighttime (8pm or later) would be nice.
Any time would be ok for me.

During the past month, how long (in minutes) has it usually taken you to fall asleep each night?*

During the past month, how many hours of actual sleep did you get at night? (this may be different from the number of hours you spent in bed.)*

During the past month, how often have you had trouble sleeping because you cannot get to sleep within 30 minutes*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times a week

During the past month, how often have you had trouble sleeping because you wake up in the middle of the night or early morning*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times a week

During the past month, how often have you had trouble sleeping because you have to get up to use the bathroom*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times a week

During the past month, how often have you had trouble sleeping because you cannot breathe comfortably*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times a week

During the past month, how often have you had trouble sleeping because you cough or snore loudly*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times a week

During the past month, how often have you had trouble sleeping because you feel too cold*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times a week

During the past month, how often have you had trouble sleeping because you feel too hot*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times a week

During the past month, how often have you had trouble sleeping because you had bad dreams*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times a week

During the past month, how often have you had trouble sleeping because you have pain*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times a week

During the past month, how would you rate your sleep quality overall?*

Very Good
Fairly Good
Fairly Bad
Very Bad

During the past month, how often have you taken medicine (prescribed or over the counter) to help you sleep?*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times per week

During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity?*

Not during the past month
Less than Once a week
Once or Twice a week
Three or more times per week

During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done?*

No problem at all
Only a very slight problem
Somewhat of a problem
A very big problem

Please write anything else that you would like for me to know. Feel free to include suggestions for improvements or a testimonial here (or feel free to email it separately).