Please fill out the following information request form and click the Send Form button when finished.

Age: Gender: Female

Job description:

How many hours of sleep do you average per 24 hours (not including naps)?

Do you consider yourself to be sleep deprived? Yes
No

Living Situation:
(Check any that apply, you must check at least one)

  Spouse
Unmarried partner
Friends		 My children
My parents
Alone

What percentage of your close female friends nap?

Do you nap? Yes
No

If you do nap, do you let other people know you nap? Yes
No

Do the people with whom you live support your napping behavior? Yes
No

Care to elaborate?

If you do not nap, why don't you?

If you are a napper, please continue with the rest of the survey!
If you are not a napper, please click Send Survey at the bottom!

If you are a napper:

Where do you nap?

When do you nap?
(Check any that apply, you must check at least one)
Morning
Afternoon
Evening
Nighttime

For how many minutes do you usually nap?

How many times a week do you nap?

I nap because:
(Check any that apply you must check at least one)

  I like it
To overcome fatigue/tiredness
Makes me more productive		 Enhances my mood
Keeps me healthy
So I can stay up later at night
Other:

Care to elaborate?

Please complete the following sentences by clicking on the drop down menu:

I concerns about vulnerability when I am napping.
I concerns about appearance when I am napping.

If so, how do you deal with this?

Napping has helped me deal more effectively with the following situations:
(Check any that apply, you must check at least one)

  Pregnancy
Breast feeding
Infant/toddler care
Caring for elders
Menopause 		Working long hours
Working two jobs (home & work)
Attending school
PMS
Other:

Care to elaborate?

Do you have examples of sleepiness/fatigue causing poor performance or accidents?

The Napping Company appreciates your interest in the napping survey and wishes you many great napping experiences!