Senior Sleep Hygiene Quiz Please enable JavaScript in your browser to complete this form. - Step 1 of 2Please Enter your Data to Start our QuizName *Email *PhoneNextHow would you describe the overall quality of your sleep? *ExcellentGoodFairPoorHow many hours of sleep do you typically get per night? *7-9 hours6-7 hours5-6 hoursLess than 5 hoursDo you often experience difficulty falling asleep? *Rarely or neverOccasionallyFrequentlyAlmost every nightHow often do you wake up during the night and have trouble going back to sleep? *Rarely or neverOccasionallyFrequentlyAlmost every nightDo you have a consistent bedtime routine? *Yes, every nightMost nightsOccasionallyNo, rarely or neverHow frequently do you experience feelings of stress or anxiety before bedtime? *Rarely or neverOccasionallyFrequentlyAlmost every nightDo you use electronic devices (phones, tablets, etc.) within an hour before bedtime? *Rarely or neverOccasionallyFrequentlyAlmost every nightHow comfortable and supportive is your mattress and pillows for sleep? *Very comfortable and supportiveModerately comfortable and supportiveSlightly comfortable and supportiveNot comfortable or supportiveHow often do you engage in physical activity or exercise during the day? *DailyMost daysOccasionallyRarely or neverDo you consume caffeinated beverages (coffee, tea, soda) in the evening? *Rarely or neverOccasionallyFrequentlyAlmost every nightTotal$0.00Submit
