The Ultimate Sleep Quality Assessment
1
How long does it typically take for you to fall asleep after lying down?Less than 10 minutes
10-30 minutes
31 minutes to an hour
More than an hour
2
Do you often wake up in the middle of the night?Never
Once
2-3 times
More than 3 times
3
Do you use electronic devices (phone, computer) before bed? Not at all
For about 10-30 minutes
30 minutes to an hour
More than an hour
4
How often do you have trouble falling back asleep after waking up during the night?Rarely or never
Occasionally
Often
Always
5
Do you feel refreshed after waking up? Always
Often
Sometimes
Rarely or never
6
How often do you have vivid dreams or nightmares?Rarely or never
Once a month
Once a week
Multiple times a week
7
Do you consume caffeine (coffee, tea, soft drinks) in the evening?Never
Rarely
Sometimes
Frequently or always
8
How often do you nap during the day?Rarely or never
Once a day
Multiple times
For more than 2 hours
9
Do you maintain a consistent sleep schedule? Always
Mostly
Sometimes
Rarely or never
10
How would you rate your bedroom environment for sleep?Very comfortable
Comfortable
Okay
Uncomfortable
11
Do you engage in a bedtime relaxation routine (e.g., reading, meditation)?Always
Often
Rarely
Never
12
How often do outside noises disrupt your sleep?Never
Rarely
Occasionally
Frequently
13
How often do you sleep for 7-9 hours in a night?Always
Often
Sometimes
Rarely or never
14
Do you eat a large meal before bed? Never
Rarely
Occasionally
Frequently
15
Do you keep your bedroom dark while sleeping?Always
Most of the time
Sometimes
Rarely or never
16
How often does stress or anxiety prevent you from sleeping?Rarely or never
Occasionally
Often
Always
17
Do you exercise during the day?Yes, regularly
A few times a week
Rarely
Never
18
How often do you wake up with a dry mouth or a headache?Never
Rarely
Sometimes
Often
19
How often do you feel sleepy or doze off during the day? Never
Rarely
Occasionally
Frequently
20
Do you use sleep aids or medication to help you sleep?Never
Occasionally
Often
Every night
Advertisement
Advertisement
