Travel and Sleep Survey
Help us understand how your travel habits affect your sleep patterns.
Your Full Name
*
First Name
Last Name
Your Age
*
Email Address
*
example@example.com
How often do you travel (for work or leisure)?
*
Please Select
Once a week or more
2-3 times a month
Once a month
A few times a year
Rarely or never
What is your primary mode of travel?
*
Airplane
Train
Car
Bus
Other
Rate the quality of your sleep during travel.
*
1
2
3
4
5
How does travel affect your sleep?
*
Difficulty falling asleep
Frequent waking
Nightmares or vivid dreams
No impact
Other
Please indicate how often you experience the following during travel and at home:
*
Rows
Never
Rarely
Sometimes
Often
Always
Trouble falling asleep while traveling
1
2
3
4
5
Trouble falling asleep at home
6
7
8
9
10
Waking up feeling tired while traveling
11
12
13
14
15
Waking up feeling tired at home
16
17
18
19
20
How many hours do you usually sleep per night while traveling?
*
Please Select
Less than 4 hours
4-5 hours
6-7 hours
8 or more hours
How many hours do you usually sleep per night at home?
*
Please Select
Less than 4 hours
4-5 hours
6-7 hours
8 or more hours
What strategies do you use to improve your sleep while traveling? (e.g., earplugs, sleep mask, medication, etc.)
Submit Survey
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