1. 
What is your age range

2. 
What is your gender

3. 
How hard has it been for you to fall asleep in the past 2 weeks?

4. 
How hard has it been for you to stay asleep in the past 2 weeks?

5. 
In the past 2 weeks, have you been frequently awaking earlier than intended?

6. 
How satisfied are you with your current sleep pattern?

7. 
How much does your sleep problem interfere with your daily functioning (e.g. daytime fatigue, concentration, memory, mood, work)?

Not at all
Very much
8. 
How noticeable to others do you think your sleep problem is?

Not at all
Very much
9. 
How worried/distressed are you about your current sleep problem?

Not at all
Very much

Thank you for taking the quiz!

We’d like to send you your sleep score via email, along with helpful tips to improve your sleep. Just fill in the details below to see your score:

clock.png

Time's up

Lost your password?

Don’t have an account? Click here to register

[ultimatemember form_id="29399"]

If have account, Click here to login