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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
B
C
D

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
B
C
D

3. How often do you wake during the night?

3. How often do you wake during the night?
A
B
C
D

4. How often do you wake up feeling unrefreshed?

4. How often do you wake up feeling unrefreshed?
A
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D

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
B
C
D