Logo
doctor-blue

Page 1

Welcome to your sleep assessment!

If you're struggling to sleep, answer a few questions to better understand if you should consider talking with a medical professional about your sleep health. Then, we'll recommend steps you can take to improve your sleep.

Page 2


Page 3


Page 4


Page 5


Page 6


(Select all that apply)

Page 7


(Select all that apply)

Page 8


Page 9


Page 10


Page 11


Page 12

How tall are you?



Page 13

What is your weight?


Page 14


Page 15


Page 16


Page 17


(Select all that apply)