Sleep Personality Quiz
First Name
*
Email
*
Phone
How would you rate your sleep?
*
1-10
1
2
3
4
5
6
7
8
9
10
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(1= poor - 10 = great)
What do you believe is affecting your sleep?
*
Stress
Racing mind
Nightmares
Don't know
Sleep apnea
Other
Please Specify if you chose "Other"
How long does it take you to fall asleep?
*
More than 1 hour
20 minutes to 1 hour
Up to 20 minutes
I'm out when my head hits the pillow
(on average)
How many hours of sleep do you get a night?
*
7 hours or above
6 to 7 hours
5 to 6 hours
4 to 5 hours
3 to 4 hours
2 to 3 hours
1 to 2 hours
0 to 1 hour
I get none without medication
I get virtually none
(on average)
How many times do you wake up during the night?
*
Two to five times
Once or twice
So many times I lose count
None, I sleep straight through
(on average)
How would you describe the quality of your sleep?
*
It constantly varies
I'm a light sleeper and wake up easily
I'm somewhere in between a light and deep sleeper
I can only sleep with medication
I sleep deeply but still wake up tired
I sleep deeply and wake up refreshed
Very bad - I hardly sleep at all
How important is it to you to get better sleep?
*
1
2
3
4
5
6
7
8
9
10
Which Statement Describes You The Best?
*
I crave security and tend to anticipate potential problems. I value loyalty and being prepared.
I feel deeply and long to express my uniqueness. I fear being ordinary or emotionally misunderstood.
I naturally focus on others’ needs and find my worth in being needed, but I sometimes neglect my own needs.
I’m driven to improve things, avoid mistakes, and do what’s right—even if it means sacrificing my own comfort.
I seek knowledge and independence. I feel safest when I can understand and control my environment from a distance.
I strive to succeed, impress others, and be seen as capable and valuable. I often adapt to fit what’s admired.
I seek peace and avoid conflict. I tend to go along with others to keep harmony, even if it means minimizing myself.
I avoid pain and limitations by keeping myself busy, positive, and excited about new ideas and experiences.
I assert control to avoid vulnerability. I value strength, honesty, and protecting those I care about.
Please take your time in answering this question as accurately as possible. It will have a big impact on your results.