How long does it typically take you to fall asleep?

1/10

How often do you wake up during the night?

2/10

Do you feel rested when you wake up?

3/10

How would you rate the quality of your sleep?

4/10

Do you have difficulty staying asleep?

5/10

Do you snore loudly?

6/10

Do you feel sleepy during the day?

7/10

Do you have difficulty concentrating during the day?

8/10

Do you experience restless legs syndrome?

9/10

How often do you exercise?

10/10