1. In your experience, a typical night consists of:
   
   

   	sleeping soundly from the moment I fall asleep until the second I wake up in the morning.
   	sleeping soundly all night with one or two interruptions (getting up to go to the bathroom, let the cat in, etc).
   	sleeping soundly until I wake up early in the morning (to go to the bathroom, let the cat in, etc) and then dozing or sleeping lightly until I have to get up.
   	sleeping lightly all night long. I am easily awoken but am generally able to fall back asleep.
   	sleeping lightly and when I am awoken I am unable to fall back asleep.
   	sleeping deeply between many interruptions of wakefulness.
   	pretty much no sleep at all. It feels like I didn't sleep at all even though I might have dozed off.

2. Do you go to bed at the same time every night? (Consider Sunday night a weeknight and Friday night a weekend night).
   
   

   	Yes, I go to bed at approximately the same time every night.
   	No, I go to bed at approximately the same time on work/school nights but I stay awake 1 or 2 hours later when the next day is my day off.
   	No, I go to bed at approximately the same time on weeknights but I stay awake more than 2 hours later on weekends.
   	No, I go to bed at approximately the same time weeknights but I go to bed earlier on weekends.
   	No, I go to bed at all different hours every night of the week.
   	No, I go to bed at approximately the same time on weekends but I go to bed at varying times during the week.

3. You have been offered a very lucrative position that will require relocation to a new city. This is a very important decision to make, as it will affect your whole life. Of course you need to think it over and examine the pros and cons of each possibility. When are you most likely to be mulling over the options?
   
   

   	In bed before going to sleep
   	In bed after waking up
   	In the shower
   	During my free time in the evening or on weekends
   	In the middle of lectures or business meetings
   	At meal time
   	During my workout
   	I set aside a specific time during the day to evaluate the decision.

4. You are nearing the end of a work week from hell. You have been going to bed late and getting up early every day this week. You would like to get home tonight at a decent time and go to bed early, but a friend is bugging you to go out with him/her for a couple of hours. What do you do?
   
   

   	Apologize to your friend and decline the invitation. You absolutely need to give yourself a break tonight.
   	Accept the invitation -- you can catch up on sleep another night.
   	Accept the invitation because you feel obliged, but hate yourself for not listening to your body's cries for rest.
   	Accept the invitation, you feel like you can keep this pace up forever.

5. Do you have difficulty falling asleep at night?
   
   

   	Yes
   	Some
   	No

6. Do you have difficulty staying asleep until a reasonable time in the morning?
   
   

   	Yes
   	Some
   	No

7. Do you exercise?
   
   

   	Yes, regularly
   	Yes, on occasion
   	Yes, but rarely
   	Never

8. At what point in the day do you typically exercise vigorously?
   
   

   	Early morning (5 am - 8 am)
   	Morning (8 am-11 am)
   	Midday (11 am-2 pm)
   	Afternoon (2 pm-6 pm)
   	Early Evening (6 pm-8 pm)
   	Evening (8 pm-10 pm)
   	Nighttime (10 pm-12 pm)
   	I don't do any vigorous exercise

9. How do you typically feel during your waking hours?
   
   

   	I feel energetic and wide-awake all day long.
   	I feel well rested all day long.
   	I feel tired all day.
   	I feel tired in the morning, but I am fine after I get going.
   	I feel energetic in the morning but I hit a low sometime later in the day.

10. You have been having trouble getting to sleep and staying asleep for the past few nights. The doctor has prescribed some sleeping pills to help you get your rest. Two weeks later the prescription has run out and you are back where you started and not sleeping well. What do you do?
    
    

    	Call the doctor for a renewal of the prescription.
    	Go to the pharmacy and buy some over-the-counter sleeping pills.
    	Try some herbal remedies for sleeplessness.
    	Make an appointment at a sleep clinic.
    	Try all of the sleep aid tips I know.
    	Lie awake at night and suffer.
    	Start using the nighttime for productive pursuits, hoping that the sleeplessness will run its course eventually.

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