Poor Sleep Habits
Please take a moment to answer these questions based on your typical behaviors. If you feel your sleep quality is compromised, consider that one of more of these factors may contribute to patterns of insomnia by affecting your physiology, circadian rhythms, or emotional thought processing. Although there is no key to determine your degree of insomnia, each question is based on specific factors associated with either a good night's sleep or the lack of it. Use each question to help you fine-tune your "sleep hygiene".  

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1- Do you go to bed at about the same time every night? *
2- Does it take you more than 30 minutes to fall asleep once in bed? *
3- Doe you wake up at about the same time every day? *
4- Do you drink coffee, tea, or caffeinated soda after 6:00pm? *
5- Do you watch television from your bed? *
6- Do you perform cardiovascular exercise 3-5 times per week? *
7- Do you use your bed as your office (e.g., homework, writing, using laptop, etc.)? *
8- Do you take a hot shower or bath before you go to sleep? *
9- Do you have one or more drinks of alcohol before bedtime? *
10- Are you engaged in intense mental activity before bed (e.g., exams, projects, reports, finances, taxes)? *
11- Is your bedroom typically warm or even hot before you go to bed? *
12- Does your sleep partner snore, become restless, etc. in the night? *
13- Is the size and comfort level of your bed satisfactory? *
14- Do you suffer from chronic pain while lying down? *
15- Is your sleep environment compromised by noise, light or pets? *
16- Do you frequently take naps during the course of a day? *
17- Do you take medications (e.g., decongestants, steroids, anti-hypertensives, asthma, anti-depressants)? *
18- Do you tend to suffer from depression? *
19- Do you eat a large, heavy meal right before you go to bed? *
20- Do you use a cell phone regularly, particularly in the evening? *
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