The Sleep Habits Questionnaire Template by WPForms can be used by wellness coaches, health professionals, and researchers to gather insightful details into individuals’ sleep patterns and habits for various studies, projects, or evaluations.
How Does the Sleep Habits Questionnaire Template Work?
You will need to buy the WPForms Pro License and use the Survey and Polls Addon to efficiently use the Sleep Habits Questionnaire Template and ensure a seamless data collection process that displays results in visual graphs and more. Fields include:
- Personal Information:
- Full Name: Name of the individual filling out the form.
- Date of Birth: Essential for understanding age-related sleep patterns.
- Gender: Helps in identifying gender-specific sleep trends and issues.
- Phone: A direct line for any follow-up or clarification.
- Email: For sending detailed analyses or further communication.
- General Health:
- Overall Health Status: A dropdown menu to gauge the general health condition of the respondent, influencing sleep quality.
- Current Medications: This is crucial for identifying any sleep disturbances caused by medications, which is a common occurrence.
- Known Health Conditions: To identify if any specific health issues are resulting in awkward sleep patterns or issues.
- Sleep Pattern:
- Typical Bedtime: Understanding regular sleep schedules aids in identifying irregularities.
- Typical Wake-up Time: Complements bedtime to calculate total sleep duration of the individual.
- Average Sleep Duration: Direct insight into the respondent’s sleep quantity to record any suggestions.
- Difficulty Falling Asleep: A simple yes/no dropdown to indicate challenges in initiating sleep.
- Frequency of Waking Up at Night: Options like rarely, sometimes, and often help in assessing sleep continuity.
- Sleep Environment Comfort: A measure of the respondent’s sleep setting comfort level.
- Room Temperature Preference: Identifies preferred sleeping conditions, impacting sleep quality.
- Use of Sleep Aids: Indicates reliance on external aids for sleep, which also directly impacts sleep patterns.
- Lifestyle and Habits:
- Caffeine Consumption: To understand the impact of caffeine on sleep.
- Alcohol Consumption: Assesses how alcohol intake affects sleep patterns.
- Smoking Status: Correlates smoking habits with sleep quality.
- Exercise Frequency: Links physical activity levels to sleep health.
- Additional Comments: Space for any extra information or specific concerns.
Sign up with WPForms today and access the Sleep Habits Questionnaire Form Template. It’s a must-have tool for wellness coaches, health professionals, and researchers seeking an efficient and reliable tool for sleep analysis.
