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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?

*

A

Never

B

Rarely

C

Often

D

Almost always

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?

*

A

Never

B

Rarely

C

Often

D

Almost always

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?

*

A

Never

B

Rarely

C

Often

D

Almost always

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?

*

A

Never

B

Rarely

C

Often

D

Almost always

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?

*

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?

*

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?

*

A

Never

B

Rarely

C

Often

D

Almost always

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?

*

A

Never

B

Rarely

C

Often

D

Almost always

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?

*

A

Never

B

Rarely

C

Often

D

Almost always

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?

*

A

Never

B

Rarely

C

Often

D

Almost always

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)

*

A

Never

B

Rarely

C

Often

D

Almost always