Sleep Questionnaire

Our bodies have an internal clock, called the circadian rhythm, that tells us when it is the best time for us to sleep, wake up, eat, do exercise, learn and a number of other things.

Not everyone’s body clock is the same.

Some people feel their best in the morning, while other people feel their best at night. Some people can go to sleep easily early in the evening, while other people have trouble going to sleep before midnight.

Understanding your body clock will help you to understand what times of the day you are more productive and what times are the best for you to sleep.

Scores can range from 16-86. Scores of 41 and below indicate “evening types”. Scores of 59 and above indicate ‘morning types”. Scores between 42 and 58 indicate ‘intermediate types”.

16-30

Definite Evening

31-41

Moderate Evening

42-58

Intermediate

50-69

Moderate Morning

70-86

Definite Morning

So what if you are an evening type, yet have to get up early to go to school? The good news is that You can re-train your body clock to fit with the times you need to go to sleep and wake up.

ProLongevity's Sleep Assessment

Instructions:

A. Read each question carefully

B. Answer each question as honestly as possible. Do not go back and check your answers. Your first response is usually the most accurate

C. Answer ALL questions

    Scores can range from 16-86. Scores of 41 and below indicate “evening types". Scores of 59 and above indicate ‘moming types”. Scores between 42 and 58 indicate ‘intermediate types”.

    So what if you are an evening type, yet have to get up early to go to school? The good news is that You can re-train your body clock to fit with the times you need to go to sleep and wake up.

    What time would you get up if you were entirely free to plan your day?

    Answers 0 Points

    What time would you go to bed if you were entirely free to plan your evening?

    Answers 0 Points

    If there is a specific time at which you have to get up in the morning, to what extent do you depend on being woken up by an alarm clock?

    Answers 0 Points

    How easy do you find it to get up in the morning (when you are not woken up unexpectedly)?

    Answers 0 Points

    How alert do you feel during the first half hour after you wake up in the morning?

    Answers 0 Points

    How hungry do you feel during the first half-hour after you wake up in the morning?

    Answers 0 Points

    During the first half-hour after you wake up in the morning, how tired do you feel?

    Answers 0 Points

    If you have no commitment the next day, what time would you go to bed compared to your usual bedtime?

    Answers 0 Points

    You have decided to engage in some physical exercise. A friend suggests that you do this for one hour twice a week and the best time for him/her is between 7:00 – 8:00 am. Bearing in mind nothing but your own internal “clock”, how do you think you would perform?

    Answers 0 Points

    At what time of day do you feel you become tired as a result of need for sleep?

    Answers 0 Points

    You want to be at your peak performance for a test that you know is going to be mentally exhausting and will last for two hours. You are entirely free to plan your day. Considering only your own internal “clock”, which ONE of the four testing times would you choose?

    Answers 0 Points

    If you got into bed at 11:00 pm, how tired would you be?

    Answers 0 Points

    For some reason, you have gone to bed several hours later than usual, but there is no need to get up at any particular time the next morning. Which ONE of the following are you most likely to do?

    Answers 0 Points

    One night you have to remain awake between 4:00 – 6:00 am in order to carry out a night watch. You have no commitments the next day. Which ONE of the alternatives will suit you best?

    Answers 0 Points

    You have to do two hours of hard physical work. You are entirely free to plan your day and considering only your own internal “clock” which ONE of the following times would you choose?

    Answers 0 Points

    You have decided to engage in hard physical exercise. A friend suggests that you do this for one hour twice a week and the best time for him/her is between 10:00 – 11:00 pm. Bearing in mind nothing else but your own internal “clock”, how well do you think you would perform?

    Answers 0 Points

    Suppose that you can choose your school hours. Assume that you went to school for five hours per day and that school was interesting and enjoyable. Which five consecutive hours would you select?

    Answers 0 Points

    At what time of the day do you think that you reach your “feeling best” peak?

    Answers 0 Points

    One hears about “morning” and “evening” types of people. Which ONE of these types do you consider yourself to be?

    Answers 0 Points

    Your Final Score is 0 Points

    Total Score is:

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