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Unlock Your Sleep Potential, Take the First Step to Better Rest!
Did you know your sleep habits could be silently impacting your energy, focus, and long-term health? This quick screening will help you and our sleep experts uncover the root causes of your sleep struggles.
By completing this questionnaire, you'll get a complimentary sleep coaching session tailored to your needs. Ready to transform your nights? Let's begin!
It is not a diagnostic tool and does not replace medical advice or expert evaluation. Your responses will help shape personalized sleepcare guidance. Please answer accurately and truthfully, as your inputs directly impact your next steps, including potential diagnosis and interventions.
I consent to my data being used solely for personalized sleep support and shared only with my permission. And I acknowledge that this is a screening tool and not a diagnosis.
Let's gather key health info linked to sleep results.
These data points are relevant to your overall sleep health and informs us about your risk for sleep apnea and other sleep disorders.
in cm
in kg
Measured at the point right below your larynx (Adam's apple)
This section is about your sleep quality and duration
Answer these based on your observations of the last two weeks.
Understanding your sleep patterns helps us explore how daily routines and health may affect your rest. This section asks about your typical sleep experience, including how long it takes to fall asleep, how much sleep you get, and how refreshed you feel. There are no right or wrong answers, just share what feels most accurate to you.
Answer these based on your observations of the last two weeks.
Answer these based on your observations of the last two weeks.
Answer these based on your observations of the last two weeks.
Your sleep health and energy
These questions help us understand how your sleep may affect your daily life and overall health.
How likely are you to doze off or fall asleep in the following situations?
In contrast to feeling just tired? This refers to your usual way of life in recent times. It is important that you answer each question as best you can.
How likely are you to doze off or fall asleep?
(Slight chance = ~once per week; Moderate chance = ~2-3 times a week; High chance = ~4+ times a week)
How likely are you to doze off or fall asleep?
(Slight chance = ~once per week; Moderate chance = ~2-3 times a week; High chance = ~4+ times a week)
How likely are you to doze off or fall asleep?
(Slight chance = ~once per week; Moderate chance = ~2-3 times a week; High chance = ~4+ times a week)
How likely are you to doze off or fall asleep?
(Slight chance = ~once per week; Moderate chance = ~2-3 times a week; High chance = ~4+ times a week)
How likely are you to doze off or fall asleep?
(Slight chance = ~once per week; Moderate chance = ~2-3 times a week; High chance = ~4+ times a week)
How likely are you to doze off or fall asleep?
(Slight chance = ~once per week; Moderate chance = ~2-3 times a week; High chance = ~4+ times a week)
How likely are you to doze off or fall asleep?
(Slight chance = ~once per week; Moderate chance = ~2-3 times a week; High chance = ~4+ times a week)
How likely are you to doze off or fall asleep?
(Slight chance = ~once per week; Moderate chance = ~2-3 times a week; High chance = ~4+ times a week)
This section is about your lifestyle and habits
Answer these based on your observations in the past two weeks.
This helps us assess the impact of your daily habits on your sleep quality and general well-being.
Answer based on your observations in the past two weeks.
Answer based on your observations in the past two weeks.
Caffeine sources include tea, coffee, energy drinks etc.
Answer based on your observations in the past two weeks.
Check all that apply
Check all that apply
Do you experience any of these frequently (more than 3x/week)?
These sleep disruptions may affect your energy, mood, or daily functioning.
Do you experience this more than 3x per week?
Do you experience this more than 3x per week?
Do you experience this more than 3x per week?
Do you experience this more than 3x per week?
Thanks, ___ for sharing with us!
To complete your sleep assessment and receive personalized insights, we'd love to offer you a complimentary 1:1 sleep coaching session with our experts.
During this session, we'll learn a bit more about you and review your results in detail. You'll identify the key steps to improve your sleep health, and get tailored guidance, all in a relaxed conversation.
Select all that apply, choose "Other" if you can't find your language below
Thank you for participating
We'll be in touch shortly to book your complimentary session with our coaches. We'll use the information you provided to give you personalised guidance to sleep better and healthier.
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