Beta Programme Application

Introduction

Thank you for your interest in participating in the CleverSleep™ Beta Programme.

CleverSleep™ combines structured sleep assessment with wearable sleep-tracking data to help interpret the biological and behavioural factors shaping sleep.

We are a small New Zealand company with a big heart, deeply committed to improving sleep health. The data generated in this beta programme is extremely important to us and will directly help refine the CleverSleep® platform before its public release.

Because meaningful sleep insights require stable, consistent data, this programme is designed for people who are genuinely committed to improving their sleep and contributing to the development of a next-generation sleep science platform.

Please apply if you:

Own and use a compatible wearable sleep tracking device
Commit to wearing your tracker every night throughout the programme
Commit to an 8-week participation period
Commit to making sleep a personal health priority during the testing period
Commit to completing a short weekly video diary (required for research and auditing)

Only 50 participants will be selected.

Participant Details

Full Name(Required)

First Last

Email Address(Required)

Mobile Phone(Required)

Do you use an Apple or Android smartphone?(Required)

City / Region (New Zealand)(Required)

Age(Required)

(Participants must be 18 years or older)

What is your gender?(Required)

Female

Male

Non-binary / gender diverse

Prefer not to say

Wearable Sleep Tracker

Which wearable tracker will you use throughout the 8-week beta programme?(Required)

Oura Ring

UltraHuman Ring

Apple Watch

Garmin

Fitbit

WHOOP

Other compatible device

Your compatible device

How long have you used this device?(Required)

Less than 1 month

1–3 months

3–12 months

More than 1 year

How often do you normally wear your tracker while sleeping?(Required)

Every night

5–6 nights per week

3–4 nights per week

Less than 3 nights per week

I confirm I will use this same device consistently throughout the beta programme(Required)

Yes

Current Sleep Patterns

Average hours of sleep per night(Required)

Less than 5 hours

5–6 hours

6–7 hours

7–8 hours

More than 8 hours

Average time it takes you to fall asleep(Required)

Less than 10 minutes

10–20 minutes

20–40 minutes

More than 40 minutes

How many times do you usually wake during the night?(Required)

0–1

2–3

4 or more

How would you describe your sleep overall?(Required)

I sleep well most nights

I occasionally struggle with sleep

I regularly struggle with sleep

My sleep is consistently poor

Which of the following best describes your current sleep challenges? (Select all that apply)(Required)

Difficulty falling asleep

Waking frequently during the night

Waking too early and unable to return to sleep

Sleep that doesn't feel restful or restorative

Restless legs or physical discomfort during sleep

Stress or anxiety affecting sleep

Menopause-related sleep disruption

Irregular sleep schedule or circadian rhythm issues (e.g. night owl, shift worker)

I sleep reasonably well but want to optimise my sleep

Sleep Schedule Stability

During the past 30 days, how consistent has your sleep schedule been?(Required)

I go to sleep and wake within roughly the same 60–90 minute window most days

My sleep schedule varies by several hours across the week

My sleep schedule is highly irregular

Typical bedtime

Hours

Minutes

AM/PM

Typical wake time

Hours

Minutes

AM/PM

Lifestyle Factors

Which of the following best describes your typical work schedule?(Required)

Regular daytime hours (e.g. 9am–5pm)

Rotating shift work

Night shifts

Irregular or variable hours

Not currently working / retired / studying

Do you have children under the age of 5 living at home?(Required)

Yes — and their night waking regularly disrupts my sleep

Yes — but they generally sleep through the night

Average alcoholic drinks per week(Required)

1–3

4–7

8–14

15+

Do you regularly consume caffeine after 2pm?(Required)

Yes

Medications & Supplements

Are you currently taking medications that affect sleep, mood, hormones, or the nervous system?(Required)

Yes (please list)

Medication name(s)

Optional: sleep supplements currently used

Upcoming Lifestyle Changes

During the next 8 weeks, do you expect to:

Travel internationally or cross time zones?(Required)

Yes

Move house?(Required)

Yes

Change work shifts or working hours?(Required)

Yes

Major life events expected? (optional)

Health Factors That May Affect Sleep Chronic Pain

Do you currently experience pain that regularly interferes with your sleep?(Required)

Occasionally

Yes, several nights per week

Yes, most nights

If applicable, please briefly describe:

Sleep Apnoea(Required)

Have you ever been diagnosed with sleep apnoea or suspected you may have sleep apnoea?

Yes – diagnosed sleep apnoea

I suspect I may have sleep apnoea but have not been diagnosed

I use a CPAP machine

Optional details:

Participant Motivation

Why would you like to participate in the CleverSleep® beta programme?

(short written response)

Participant Commitment

Because meaningful sleep data requires stability, participants must be able to maintain consistent routines during the programme. Video diaries are an important part of and auditing process and are required for all participants. By applying to participate I confirm that:(Required)

I will wear my sleep tracker every night during the beta programme

I will sync my sleep data regularly

I will prioritise sleep as a personal health focus during the trial

I will avoid international travel or time-zone changes

I understand the programme requires an 8-week commitment

I confirm I can commit to completing the full testing period

I consent to giving my honest feedback during short weekly surveys for the purpose of adding improvements to the app and highlighting errors or areas that need improvement.

I commit to completing a short weekly video diary for the duration of the beta programme, for the purpose of research analysis and auditing.

Consent & Disclaimer

I understand CleverSleep™ is a sleep coaching and wellness platform
It does not provide medical diagnosis or treatment
It does not replace advice from a qualified healthcare professional

I understand the platform is currently in beta development and features may change during testing.

I consent to the collection and analysis of my sleep data for:

platform testing
system improvement
product development
sleep research

All personal information will be handled in accordance with the New Zealand Privacy Act 2020.(Required)

I agree to participate under these conditions

Final Declaration

I confirm that the information provided is accurate and that I wish to apply to participate in the CleverSleep™ Beta Programme.

Full Name(Required)

First Last

Signature(Required)

Date(Required)

DD slash MM slash YYYY

CAPTCHA

Beta Programme Application

Introduction

Participant Details

Wearable Sleep Tracker

Current Sleep Patterns

Sleep Schedule Stability

Lifestyle Factors

Medications & Supplements

Upcoming Lifestyle Changes

Health Factors That May Affect Sleep Chronic Pain

Participant Motivation

Participant Commitment

Consent & Disclaimer

Final Declaration

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Company

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Beta Programme Application

Introduction

Participant Details

Wearable Sleep Tracker

Current Sleep Patterns

Sleep Schedule Stability

Lifestyle Factors

Medications & Supplements

Upcoming Lifestyle Changes

Health Factors That May Affect Sleep Chronic Pain

Participant Motivation

Participant Commitment

Consent & Disclaimer

Final Declaration

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Contact

Company

Policies

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