Level of Knowledge about Sleep Quality

1. How often do you wake up during the night?

Rarely Occasionally Frequently

2. Which factors contribute to a good night's sleep for you? (Select all that apply)

Dark and quiet environment Comfortable bed and pillow No electronic devices before bedtime Regular sleep schedule Avoiding caffeine and heavy meals

3. How many hours of sleep do you usually get per night?

4. Do you experience any of the following sleep disorders? (Select one)

Insomnia Sleep apnea Restless legs syndrome Narcolepsy None

5. How would you rate the quality of your sleep overall?

Excellent Good Fair Poor

6. Do you snore?

Yes No

7. What activities do you engage in before going to bed? (Select all that apply)

Reading Watching TV Using electronic devices Taking a warm bath Listening to music Meditation/Relaxation exercises Other

8. Do you have any specific concerns or challenges related to your sleep that you would like to share?

9. How would you describe your usual bedtime routine?

Consistent and relaxing Inconsistent and stressful I don't have a specific bedtime routine

10. How often do you feel refreshed and well-rested after waking up?

Almost always Sometimes Rarely Never

11. Which of the following can negatively impact your sleep? (Select all that apply)

Stress Anxiety Noise Light exposure Temperature Physical discomfort

12. Are you currently taking any sleep medications or supplements?

Yes No

13. How frequently do you exercise or engage in physical activity?

Daily Several times a week Once a week Rarely Never

14. Which of the following strategies do you use to improve sleep quality? (Select all that apply)

Establishing a regular sleep schedule Creating a comfortable sleep environment Practicing relaxation techniques Limiting exposure to electronic devices before bed Avoiding caffeine and stimulants Using sleep aids or supplements

15. Do you have any specific questions or areas of interest regarding sleep quality that you would like to learn more about?

16. Do you have a consistent wake-up time in the morning?

Yes No

17. How many caffeinated beverages do you consume in a typical day?

None 1-2 cups 3-4 cups 5 or more cups

18. Do you usually feel sleepy or fatigued during the day?

Rarely Occasionally Frequently

19. Which of the following sleep hygiene practices do you follow? (Select all that apply)

Keeping a consistent sleep schedule Avoiding naps during the day Creating a comfortable sleep environment Avoiding stimulating activities before bed Limiting caffeine intake Exercising regularly Avoiding alcohol and heavy meals before bedtime