Sleep Survey.
Sleep Survey: Discover Your Sleep Patterns
Take our comprehensive Sleep Survey to understand your sleep habits and patterns better. This quiz is designed to help you evaluate your sleep quality and its impact on your daily life. Answer a series of insightful questions to gain personalized feedback.
- Learn about your sleep environment
- Discover how your lifestyle impacts your sleep
- Identify potential sleep issues and solutions
How old are you ?
Under 18
18-24
25-30
30-35
35-40
40+
What is your gender ?
Male
Female
Other
Where are you from?
India
Pakistan
Middle east
Western region
East asian
Other
Please Specify:
How would you describe your overall productivity level
Overly productive, I am always doing many different things, I have no chill.
Very productive, I usually indulge in work and leisure activities while also fulfilling the necessary tasks.
Productive, I do whatever is necessary on time and basic things to keep me from boredom
Less productive, I do necessary tasks but with delay and comfort.
Not productive at all, I like to dodge work and indulgence as much as I can.
Whats your current sleep pattern like?
1-3
3-6
6-9
9-12
12+ hours
I don't sleep.
How often do you have a habit of waking up in the middle of your sleep ?
Everynight
Sometimes
Rarely or never
Only under specific conditions ( nightmares,noise,disturbance)
Which of these best describes you?
Heavy sleeper
Light sleeper
Other
Please Specify:
How many times per week do you say you get "good sleep"?
1-2
3-4
4-5
All days, I sleep well.
I never sleep well.
Do you typically snore at night?
Yes
No
Do you wake up early in the morning/middle of the night and have trouble falling back asleep?
Yes, often
Yes, sometimes
No, never
Do you wake up groggy and tired even after having 8 or more hours of sleep?
Yes
No
Do you often experience head pain after you wake up?
Yes when I wake up early
Yes when I wake up late
Yes when I wake up too early/too late
Never experienced it
Other
Please Specify:
Do you suddenly fall asleep during the day while doing activities?
No
Yes, sometimes if I am tired/stressed
Yes, often.
For how long do you think you have had sleep issues?
Since a few weeks
Since a few years
Since a few months
Since a few days
I do not have sleep issues.
Do you think your issues with sleep are disrupting your regular livelihood?
Yes
No
No, I dont have sleep issues.
Did you get good quality sleep as a child?
Yes
No
Do you have a specific sleep schedule?
Yes
No it varies a lot
I do but it varies sometimes.
How long does it take you to fall asleep once you are in bed?
Below 5 mins
5-10 mins
15-20 mins
20-30 mins
45mins- 1 hour
1 hour+
How would you describe your sleep Environment?
Dark.noise/disruption free.
Light.noise/disruption free.
Dark and noisy.
Light and noisy.
Do you sleep in a ?
Cooler temperature with the AC on
Warmer temperature, nothing on.
Just the fan.
Very cold, both AC and Fan
Do you sleep ?
Alone
With a partner
With roommates
With children
With your parents
Pets
Do you have trouble sleeping
Alone
With people next to you
How much is your general screen time per day? ( time spent on phone, PC, TV)
24 hours
13-15 hours
9-10 hours
Below 9 hours
What activities do you usually indulge in before bed?
Video Gaming
Watching TV
Reading
Social media
Movies
Sexual activity
Listen to music
Other
Please Specify:
How is your overall diet?
I eat healthy most days
I balance everything.
Mostly junk
I barely eat only 1-2 meals a day
Do you?
Eat right before bed
Go to bed hungry
Eat 2-3 hours before bed
Other
Please Specify:
How would you describe your social life?
Great, I communicate a lot with my friends/family.
Good, I often talk to my friends and family
Alright, I only talk to friends/family/colleagues occasionally when I need them
I spend most my time alone. Not a good social life.
Are you?
Married/engaged
Divorced
Single
Separated/Broken up
In a relationship
How satisfied are you with your life?
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
How often do you feel depressed?
Always
Sometimes
Rarely
Never
Would you say that your sleep affects any of these? ( relationships,professional life,energy,mood) kindly specify which and how?
Have you ever taken any medicines/pills to sleep?
Yes, on my own.
Yes, with prescription from a doctor.
No I have not.
Do you have any health issues, mental or chronic illness are you actively taking medication? Kindly specify
What is your weight group?
Underweight
Slightly Underweight
Slightly Overweight
Overweight
Obese
Normal
Have you tried fixing your sleep problem?
YES, on my own
Yes, consulted a specialist
No I have not
No I don't have trouble sleeping.
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Thank you so much for taking the time to fill out this survey. All answers are confidential and will only be used for research purposes. I am so grateful for your honesty and time. If you would like an update on the project in the future, please leave your email address in the last question. Thank you!
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