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Sleep Quiz
INSTRUCTIONS
Answer based on your
typical sleep over the last 2–4 weeks
.
Sleep Quantity & Quality
1. How often do you get less than 7 hours of sleep per night?
*
1. How often do you get less than 7 hours of sleep per night?
A
Never
B
Rarely
C
Often
D
Almost always
2. How often does it take you more than 20 minutes to fall asleep?
*
2. How often does it take you more than 20 minutes to fall asleep?
A
Never
B
Rarely
C
Often
D
Almost always
3. How often do you wake during the night?
*
3. How often do you wake during the night?
A
Never
B
Rarely
C
Often
D
Almost always
4. How often do you wake up feeling unrefreshed?
*
4. How often do you wake up feeling unrefreshed?
A
Never
B
Rarely
C
Often
D
Almost always
Night Disruptions
5. How often does pain (pelvic, joint, muscle) disrupt your sleep?
*
5. How often does pain (pelvic, joint, muscle) disrupt your sleep?
A
Never
B
Rarely
C
Often
D
Almost always
6. How often do you wake up due to anxiety or racing thoughts?
*
6. How often do you wake up due to anxiety or racing thoughts?
A
Never
B
Rarely
C
Often
D
Almost always
7. How often do you wake up to urinate during the night?
*
7. How often do you wake up to urinate during the night?
A
Never
B
Rarely
C
Often
D
Almost always
8. How often do you experience night sweats or feel overheated at night?
*
8. How often do you experience night sweats or feel overheated at night?
A
Never
B
Rarely
C
Often
D
Almost always
Stress & Cortisol Patterns
9. How often do you feel tired all day but more alert at night?
*
9. How often do you feel tired all day but more alert at night?
A
Never
B
Rarely
C
Often
D
Almost always
10. How often do you wake between 2–4 AM and struggle to fall back asleep?
*
10. How often do you wake between 2–4 AM and struggle to fall back asleep?
A
Never
B
Rarely
C
Often
D
Almost always
Nervous System Patterns
11. How often does your mind feel like it won’t “shut off” at night?
*
11. How often does your mind feel like it won’t “shut off” at night?
A
Never
B
Rarely
C
Often
D
Almost always
12. How often do you feel “tired but wired” when trying to sleep?
*
12. How often do you feel “tired but wired” when trying to sleep?
A
Never
B
Rarely
C
Often
D
Almost always
Gut & Histamine Clues
13. How often do you experience bloating, reflux, or discomfort at night?
*
13. How often do you experience bloating, reflux, or discomfort at night?
A
Never
B
Rarely
C
Often
D
Almost always
14. How often do you experience itching, congestion, or allergy-like symptoms at night?
*
14. How often do you experience itching, congestion, or allergy-like symptoms at night?
A
Never
B
Rarely
C
Often
D
Almost always
Inflammation & Recovery
15. How often does pain interfere with your ability to stay asleep?
*
15. How often does pain interfere with your ability to stay asleep?
A
Never
B
Rarely
C
Often
D
Almost always
16. How often do you wake feeling physically sore, inflamed, or stiff?
*
16. How often do you wake feeling physically sore, inflamed, or stiff?
A
Never
B
Rarely
C
Often
D
Almost always
Lifestyle Inputs
17. How often do you eat within 1–2 hours of going to bed?
*
17. How often do you eat within 1–2 hours of going to bed?
A
Never
B
Rarely
C
Often
D
Almost always
18. How often do you use screens within 1 hour of bedtime?
*
18. How often do you use screens within 1 hour of bedtime?
A
Never
B
Rarely
C
Often
D
Almost always
19. How often do you feel truly relaxed and safe in your body at bedtime?
(reverse scoring)
*
19. How often do you feel truly relaxed and safe in your body at bedtime?(reverse scoring)
A
Never
B
Rarely
C
Often
D
Almost always
Submit