This survey will help us assess your eligibility for this or other research studies.

IMPORTANT: this survey has TWO forms. Please start by completing the first survey form shown below - once you press "Submit" at the bottom, then the second form will open (total time to complete both forms 5-10min).

Note: If you are unsure about any question then please enter/select the best answer and leave a comment in the end, in which case we will be happy to review your answers with you and clarify any questions. You can also reach us by calling (858) 246-2154 or emailing sleepresearch@health.ucsd.edu.


Thank you!

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