Sleep Beliefs Assessment Questionnaire Form
Evaluate your beliefs and attitudes about sleep by answering the following questions.
How important do you believe sleep is for your overall well-being?
*
Not important
1
2
3
4
Extremely important
5
1 is Not important, 5 is Extremely important
How satisfied are you with your current sleep habits?
*
1
2
3
4
5
Which of the following best describes your attitude towards sleep?
*
Sleep is a necessity
Sleep is a luxury
Sleep is a waste of time
Sleep is enjoyable
Other
Please indicate how strongly you agree or disagree with the following statements about sleep.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I need at least 8 hours of sleep to feel rested.
1
2
3
4
5
If I don't sleep well, my day is ruined.
6
7
8
9
10
Napping during the day is beneficial.
11
12
13
14
15
I worry about not getting enough sleep.
16
17
18
19
20
How often do you think about your sleep quality during the day?
*
Never
1
2
3
4
Very often
5
1 is Never, 5 is Very often
Do you believe you can control the quality of your sleep?
*
Yes
No
Not sure
What is your biggest belief or concern about sleep?
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