Sleep Quality Assessment Survey

Evaluate sleep patterns, quality, and factors affecting rest to better understand sleep health.

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Answer a few questions about your sleep habits and quality. Your responses are completely anonymous.

On average, how many hours of sleep do you get per night?*

Less than 5 hours5–6 hours6–7 hours7–8 hoursMore than 8 hours

How would you rate the overall quality of your sleep?*

Which of the following sleep issues do you experience regularly?

Difficulty falling asleepWaking up during the nightWaking up too earlyFeeling unrefreshed in the morningSnoring or sleep apneaNone — I sleep well

How consistent is your bedtime each night?*

Very consistent (within 30 minutes)Somewhat consistent (within 1 hour)Varies by 1–2 hoursHighly variable

Which factors most negatively affect your sleep?

Stress or anxietyScreen use before bedCaffeine or alcoholNoise or light in the bedroomIrregular work schedulePhysical discomfort or pain

How rested do you typically feel when you wake up?*

What sleep strategies or routines have worked best for you?

CategorySurveys

Fields7

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surveyssleephealthwellnesssleep quality

Sleep Quality Assessment Survey - Free Surveys Template | ZenBuild | ZenBuild