Sleep Quality Assessment

Question 1 of 7

How long does it usually take you to fall asleep?

Under 10 minutes

10-20 minutes

20-30 minutes

30+ minutes or I lie awake for a long time

Question 2 of 7

How often do you wake up during the night?

Rarely — I sleep through

1-2 times but fall back asleep easily

1-2 times and struggle to fall back asleep

Multiple times per night

Question 3 of 7

How rested do you feel when you wake up?

Very rested — ready to go

Mostly rested with some grogginess

Somewhat tired — takes a while to feel normal

Tired or exhausted despite hours slept

Question 4 of 7

How consistent is your sleep schedule?

Same time every day, including weekends

Fairly consistent with occasional variation

Varies significantly on weekends

Completely irregular — different every night

Question 5 of 7

How would you describe your energy levels in the afternoon?

Steady and consistent

Slight dip but manageable

Significant energy crash around 2-3pm

Very low energy most afternoons

Question 6 of 7

Do you use screens (phone, TV, tablet) in bed?

Never — I keep screens out of the bedroom

Sometimes — occasionally check my phone

Often — I usually scroll before sleeping

Always — screens are part of my wind-down routine

Question 7 of 7

How would you rate your overall sleep quality?

Excellent

Good

Fair

Poor

Good Sleeper