Tell us about your sleep habits, behavior and environment so we can help you sleep better.

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Sleep Habits

On a scale of 1-10, how disruptive is your sleep quality to your daily life?

Not Disruptive

Highly Disruptive

Sleep Habits
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Sleep Habits

How long have you been experiencing poor sleep quality?

Sleep Habits
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Sleep Habits

How many hours of sleep per night do you get?

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Sleep Habits

How often do you drink caffeinated beverages in the afternoon?

Sleep Habits
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Sleep Habits

How often are you consuming alcohol before bed?

Sleep Habits
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Sleep Behavior

How often do you have trouble falling asleep?

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Sleep Behavior

How often do you have trouble staying asleep?

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Sleep Behavior

How often do you take medicine or supplements to help you sleep?

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Sleep Behavior

Do you have any known medical conditions that disrupt your sleep?

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Sleep Behavior

On a scale of 1 - 10 how stressed or anxious are you currently feeling?

Not Stressed

Highly Stressed

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Sleep Behavior

Do you currently feel sad or irritable?

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Sleep Behavior

How often is your sleep schedule irregular due to work schedule (i.e. shift work)?

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Sleep Behavior

How frequently do your legs feel restless or do you kick in your sleep?

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Sleep Behavior

Are you aware of any sudden or unusual movements during sleep?

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Sleep Behavior

How often do you snore?

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Sleep Behavior

How frequently do you stop breathing, gasp for air or choke in your sleep?

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Sleep Behavior

How often do you struggle staying awake throughout the day?

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Sleep Environment

How often does noise make it difficult for you to fall or stay asleep?

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Sleep Environment

How often does light make it difficult for you to fall or stay asleep?

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Sleep Environment

How often does being too cold disrupt your sleep?

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Sleep Environment

How often does being too warm disrupt your sleep?

Sleep Habits
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Sleep Environment

How often do you experience pain during or resulting from sleep?

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Sleep Environment

Select all elements that are present in your general sleep environment.

Sleep Habits
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Sleep Environment

How old is your current mattress?

Sleep Habits
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Sleep Environment

How old are your current pillows?

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About You

What is your age range?

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About You

How would you describe your gender?

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On a scale of 1-10, how disruptive is your sleep quality to your daily life?

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