SLEEP SURVEY

How well do you sleep?

Helping you find your energy

Do you struggle getting to sleep? Do you wake up in the early hours and struggle to get back to sleep? It is frustrating, and can be exhausting if you suffer from any kind of insomnia. Complete our sleep survey below and we will get in touch with some ways you can improve the quality and amount of sleep you get each night.

Sleep Survey

Sleep Questionnaire

1. How easy do you find it to fall asleep at night?
- Easily
- After some time
- with difficulty
2. How often do you wake in the night?
- Never
- Occasionally
- Too many to count
3. Have you started either losing or gaining one or more hours of sleep?
- No
- Just recently
- For a while now
4. Do you snore?
- No
- Sometimes
- Yes
5. Do you wind down properly before bed?
- Never
- Most of the time
- Always
6. How do you generally feel in the morning?
- Refreshed
- OK
- Lethargic
7. How many caffeinated drinks do you have during the day (including evenings)?
- Less than 3
- 3-6
- Over 6
8. How many alcoholic units do you generally have before 5pm?
- None
- 1-2
- Over 2
9. How many times a week do you exercise?
- None
- 1-3
- Over 3
10. When do you take your exercise?
- Daytime/Early evening (before 8pm)
- Late evening (after 8pm)
- Not applicable
11. Do you feel the need to nap during the day?
- Never
- Occasionally
- Always
12. Throughout the day do you feel
- Generally happy
- Ok, but easily annoyed
- Grumpy and irritable
13. Do you use any technology in the hour before bed?
- Never
- Most nights
- Always
14. Do you ever wake up too hot/too cold in bed? (Disregard the seasons)
- Never
- Occasionally
- Always
15. How old is your current mattress?
- Less than five years
- 6-8 years
- Older than this
16. Do you often find yourself eating your meal after 8pm at night?
- Never
- Sometimes
- Always
17. Do you wake with aches and pains?
- Yes
- Sometimes
- No
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SLEEP SURVEY

Sleep Survey

Sleep Questionnaire

Don’t Wait Any Longer. Start Forging Your Own Path Today!