Sleep Survey Questions for Questionnaires

What are sleep survey questions?

Sleep survey questions are survey questions asked to collect information about an individual’s sleeping habits and causes for poor sleep. Asking such questions can help the researcher to understand the sleeping patterns of a person, the reasons that influence sleeping habits, and the implications of certain activities that can lead to poor sleep or insomnia. These questions are asked by medical professionals such as doctors, psychiatrists, or mental health professionals. These questions can give you valuable data that can be analyzed and help individuals get better sleep.

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For example, an individual is suffering from poor sleep for a long time, impacting his productivity and health as well. In such a case, a medical professional can use a sleep survey or sleep deprivation survey to deduce the reasons that have led to poor sleep. Analyzing the patient’s responses can enable the professional to give appropriate treatment and hence suggest corrective actions that can lead to better quality sleep.

Sleeping is a daily routine for most of us, and we do not spend much time thinking about its importance. However, with the growing use of technology and lifestyle changes, the younger generation is losing many hours of sleep. Because of habits such as late night parties and spending too much time on mobile phones before sleeping, there are rising health concerns in the younger generation. Based on the findings from various studies, it is evident that sleep is even more important for children than adults, and that is when most brain development happens.

Poor sleep affects children’s behavior and makes them less productive. Hence, it is crucial to address such issues at the earliest and take corrective actions accordingly. In such a case, a school sleep habits survey can help the researcher understand the underlying facts leading to poor sleep quality and, hence, less productivity in children. Using this information, suggestive actions can be taken to improve the quality of sleep, which will have a positive impact on children’s health.

Below is a list of questions you can ask healthcare survey participants or patients to learn more about their sleep habits and disorders. But before asking sleep-related questions, collect personal details of the patient that will help you better analyze data.

1. Name
2. Age
3. Sex
4. Height
5. Weight
6. Marital status
7. Referred by physician

Sleep survey questions for questionnaires

1. How often has poor sleep troubled you in the last month?
   1. Always
   2. Very often
   3. Sometimes
   4. Rarely
   5. Never
2. On a scale of 1 to 7, 7 being always, how often have the following problems occurred in the last month?
   1. Not able to sleep
   2. Getting up in the middle of the night
   3. Waking up too early
   4. Feeling drained and exhausted in the morning
   5. None of the above
3. How many nights do you think you get poor sleep in a week?
   1. 0
   2. 1
   3. 2
   4. 3
   5. 4
   6. 5
   7. 6
   8. 7
4. How often do you feel sleepy in the day time while working?
   1. Always
   2. Very often
   3. Sometimes
   4. Rarely
   5. Never
5. For how long do you think you have had issues with your sleep?
   1. Less than a month
   2. 1-2 months
   3. 3-6 months
   4. 7-12 months
   5. 1-2 years
   6. 3-5 years
   7. 6-10 years
   8. 10+ years
   9. I don’t have any issues
6. Did you get good quality sleep when you were a child?
   1. Yes
   2. No
7. In your opinion, are you a morning person or an evening person?
   1. Morning person
   2. Evening person
   3. Neither
8. Do you work in night shifts?
   1. Yes
   2. No
9. On an average, what time do you usually go to sleep?
   1. 9 – 10 pm
   2. 11 – 12 pm
   3. 1 – 2 am
   4. 3-4 am
   5. 5-6 am
   6. 6-7 am
   7. 7 – 9 am
   8. 10-12 am
   9. 1 – 3 pm
   10. 4 – 6 pm
   11. 7 – 9 pm
10. How long it takes you to fall asleep once you are in bed?
    1. Less than 15 min
    2. 15-30 min
    3. 31-45 min
    4. 46-60 min
    5. More than an hour
11. How often do you take sleeping pills to fall asleep?
    1. Always
    2. Very often
    3. Sometimes
    4. Rarely
    5. Never
12. If you wake up in the middle of the night, how long do you stay awake?
    1. Less than 15 min
    2. 15-30 min
    3. 31-45 min
    4. 46-60 min
    5. More than an hour
    6. I cannot go off to sleep again
13. Why do you wake up in the middle of the night?
    1. Bad dreams
    2. Nature call
    3. Physical pain
    4. External disturbance
    5. Others
14. Do your legs jerk at night?
    1. Most often
    2. Pretty often
    3. Every once in a while
    4. Never
15. Do you snore while sleeping?
    1. Every night
    2. Quite often
    3. Once in a while
    4. Never
16. What time do you wake up in the morning?
    1. 4 am
    2. 5 am
    3. 6 am
    4. 7 am
    5. 8 am
    6. 9 am
    7. After 9 am
17. On a scale of 1 to 7, 7 being the highest, how exhausted do you feel in the morning (consider the average for a week)?
18. how many hours of sleep do you get in 24 hours? (approximately)
    1. Less than 3 hours
    2. 4 hours
    3. 5 hours
    4. 6 hours
    5. 7 hours
    6. 8 hours
    7. 9 hours
    8. More than 9 hours
19. In your opinion, how would you rate your quality of sleep?
    1. Very good
    2. Good
    3. Average
    4. Poor
    5. Very poor
20. Do you tend to sleep more on non-working days?
    1. Yes
    2. No
21. Who do you sleep with usually?
    1. Alone
    2. With partner
    3. With roommates
    4. With parents
    5. With children
22. How often do you smoke in a day?
    1. I don’t smoke
    2. Rarely
    3. 1-10 times a day
    4. 11-20 times a day
    5. More than 20 times a day
23. How often do you consume alcohol in a week?
    1. I don’t drink alcohol
    2. once a week
    3. 2-3 time a week
    4. 4-5 times a week
    5. 5-6 times a week
    6. Everyday
24. Would you consider yourself a chain smoker?
    1. Yes
    2. No
25. Would you consider yourself an alcoholic?
    1. Yes
    2. No
26. How often do you exercise in a week?
    1. I don’t exercise at all
    2. once a week
    3. 2-3 time a week
    4. 4-5 times a week
    5. 5-6 times a week
    6. Everyday
27. Please state which of the following activities do you usually do just before you go off to sleep?
    1. Check email
    2. Watch social media
    3. Watch TV
    4. Read books or ebooks
    5. Sexual activity
    6. Drink alcohol
    7. Smoke
    8. Play games on a screen
    9. None of the above
    10. Other (Please specify)
28. How satisfied are you with your life?
    1. Very dissatisfied
    2. Dissatisfied
    3. Neutral
    4. Satisfied
    5. Very satisfied
29. How often do you feel depressed?
    1. Always
    2. Very often
    3. Sometimes
    4. Rarely
    5. Never
30. On a scale of 1 to 7, 7 being the highest, how often does your poor sleep affect the following?
    1. Professional life
    2. Energy
    3. Moods
    4. Relationship
    5. Other (Please specify)
31. On a scale of 1 to 7, 7 being the highest, how much do you think the following points contribute to your lack of sleep?
    1. Work stress
    2. Monetary issues
    3. Relationship problems
    4. Caffeine
    5. Health issues
    6. Waking up to go to the bathroom
    7. Any type of sounds
    8. Multiple thoughts
    9. Temperature
    10. Nightmares
    11. Smoking before sleep
    12. Drinking before sleep
    13. Working late
32. Do you have a family history of sleep disorders?
    1. Yes
    2. No
33. Do you have any comments/suggestions/feedback that you would like to provide?

Above are a few sleep survey questions that can enable the researcher to evaluate the respondents’ quality of sleep. These questions emphasize sleeping habits, lifestyle, mental health, and any other possible causes that can impact an individual’s sleep patterns.