"Sleep used to be effortless. Now it's another thing to fix."

Art of Living
Sleep Assessment

Disclaimer

It is not a diagnostic tool and does not replace medical advice or expert evaluation.

Your responses will help shape personalized wellness guidance. Please answer accurately and truthfully, as your inputs directly impact your next steps, including potential recommendations and interventions.

I consent to my data being used solely for personalized wellness support and shared only with my permission. And I acknowledge that this is a screening tool and not a diagnosis.

Let's get to know you. What should we call you?

First Name *

Last Name

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Hi, how old are you?

Less than 30 30-40 40-50 50-60 60 or older

What is your gender?

Woman Man Prefer not to say

What is your height?

Centimeters Feet & Inches

What is your weight? (in kg)

On average, how long do you usually take to fall asleep?

Less than 15 minutes 15-30 minutes More than 45 minutes

On average, how many hours of sleep do you get per night?

3-4 hours 5-7 hours 8-9 hours

How often are your nights restless?

Rarely 1-2 nights a week 3-4 nights a week 4+ nights a week

How often do you wake during the night?

Rarely 1-2 times 3-5 times

How often do you wake up feeling refreshed?

Rarely 1-2 days a week 3-4 days a week 4+ days a week

Do you often feel tired, fatigued, or sleepy during the daytime?

Yes No

Do you snore?

Yes No Don't Know

Do you experience racing thoughts at night?

Yes Sometimes No

How often do you use screens within 1 hour of bedtime?

Every night 3-5 days/week 1-2 days/week Never

Do you consume caffeine post 6 PM?