Let's figure out what's really keeping you awake.

This takes about 3 minutes. Your answers stay private and help us build your personalized sleep report.

Question 1 of 10

What bothers you most about your sleep?

Question 2 of 10

How long has this been going on?

Question 3 of 10

On a typical night, how long does it take you to fall asleep?

Question 4 of 10

What do you usually do in bed besides sleeping?

Question 5 of 10

When you wake up in the middle of the night, what do you usually do?

Question 6 of 10

How much does the thought of "not sleeping tonight" bother you?

Not at all Extremely

It's on my mind

Question 7 of 10

What have you already tried?

Question 7b

What happened with CBT-I?

Question 8 of 10

What time do you usually go to bed and wake up?

Bedtime

Wake up

Question 9 of 10

Please check any that apply:

I snore loudly or have been told I stop breathing during sleep

I have very strong urges to move my legs at night

I experience sleepwalking, sleep talking, or acting out dreams

I'm currently experiencing severe depression or thoughts of self-harm

I'm pregnant or recently gave birth

I use sleep medication daily and have for more than 3 months

Question 10 of 10

What would better sleep change for you?

Your report is ready.

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