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Sleep Questionnaire
A simple questionnaire developed by sleep researchers to determine the degree of your sleep fulfillment.
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* Indicates required question
Email
*
Your email
Are you satisfied with your sleep?
*
Rarely/Never
Sometimes
Always
Required
Do you stay awake all day without dosing?
*
Rarely/Never
Sometimes
Always
Are you asleep, or trying to fall asleep between 2a-4a?
*
Rarely/Never
Sometimes
Always
Do you spend less then 30 minutes awake at night (This includes the time you spend trying to fall asleep and the awakenings from sleep)
*
Rarely/Never
Sometimes
Always
Do you sleep between 6-8 hours per night?
*
Rarely/Never
Sometimes
Always
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