Sleep Quality

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Improve Sleep Quality.

Your ignored sleep will reflect immediately on the day’s balance sheet.

Answer the following questions and get the report on your Sleep Quality.

Sleep costs your life, if ignored. Sleep is important for everyday’s healthy body and efficiency in thinking, emotions and behaviours.

Good sleep is also important for good family atmosphere, harmonious relationships and competitiveness in your work or business.

We will help you to improve your sleep and live a happy life.

Kindly answer the following questions.

Name *

Contact Number with ISD Code *

Email Address

Date of Birth *

Gender *

The following questions relate to your usual sleep habits during the past month only. Your answers should indicate the most accurate reply for the majority of days and nights in the past month. Please answer all questions.

1. During the past month, At What Time have you usually gone to bed? *

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AMPM

2. During the past month, How long (in minutes) has it taken you to fall asleep each night? *

3. During the past month, What time have you usually gotten up in the morning? *

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AMPM

4 a. How many hours of actual sleep did you get at night? *

4 b. How many hours were you in bed? *

5. During The Past Month, How often have you had trouble sleeping because you Cannot get to sleep within 30 minutes *Please select an optionNever had trouble during the past monthHad trouble Less than once a week, during the past monthHad trouble Once or twice a week, during the past monthHad trouble Three or More times a week, during the past month

6. During The Past Month, how often have you had trouble sleeping because you Wake up in the middle of the night or early morning *Please select an optionNever had trouble during the past monthHad trouble Less than once a week, during the past monthHad trouble Once or twice a week, during the past monthHad trouble Three or More times a week, during the past month

7. During the past month, how often have you had trouble sleeping because you Have to get up to use the bathroom *Please select an optionNever had trouble During the Past MonthHad trouble Less than once during past monthHad trouble Once or twice a week, during past monthHad trouble Three or more times a week, during past month