Sleep Risk Assessment

How are your sleeping habits impacting your health? 

Question Title

* 1. What time do you go to bed?

Question Title

* 2. Do you wake up with an alarm?

Question Title

* 3. What position do you sleep in?

Question Title

* 4. Do you wake up in the middle of the night?

Question Title

* 5. Do you wake up refreshed and energized?

Question Title

* 6. How many cups of coffee do you have?

Question Title

* 7. Do you need to take medication or a supplement to sleep?

Question Title

* 8. What time do you finish dinner?

Question Title

* 9. How long does it take you to fall asleep?

Question Title

* 10. How many hours do you sleep?

Question Title

* 11. Do you fall asleep with the tv on?

Question Title

* 12. Do you feel tired during the day and feel like you can fall asleep?

Question Title

* 13. Do you feel like you would like to hit snooze when you wake up?

Question Title

* 14. Rate your energy throughout the day.

Question Title

* 15. What best describes your current weight?

Question Title

* 16. What best describes your fitness level?

Question Title

* 17. How many glasses of alcohol do you consume per day on average?

Question Title

* 18. What best describes your THC/Marijuana intake?

Question Title

* 19. I remember my dreams?

Question Title

* 20. Do you tend to wake up in the middle of your dreams?

Question Title

* 21. Address

T