Pre-Bed Workout Routine Questionnaire Form
Please complete the Pre-Bed Workout Routine Questionnaire Form to help us understand your exercise habits and preferences before bedtime. This will allow us to better tailor recommendations for a safe and effective routine.
Full Name
*
First Name
Last Name
Age
*
How often do you perform pre-bed workouts each week?
*
Please Select
Every night
4-6 times per week
2-3 times per week
Once a week
Less than once a week
What types of exercises do you typically include in your pre-bed routine?
*
Stretching
Yoga
Light cardio (e.g., walking, cycling)
Bodyweight exercises (e.g., squats, push-ups)
Breathing or relaxation exercises
Other
How long is your typical pre-bed workout routine?
*
Please Select
Less than 10 minutes
10–20 minutes
21–30 minutes
More than 30 minutes
How long before bedtime do you usually exercise?
*
Please Select
Within 30 minutes of bedtime
30–60 minutes before bed
1–2 hours before bed
More than 2 hours before bed
Do you use any equipment for your pre-bed workout?
No equipment
Yoga mat
Resistance bands
Foam roller
Other
How does your pre-bed workout affect your sleep quality?
Improves my sleep
No noticeable effect
Sometimes disrupts my sleep
Not sure
Do you have any preferences or restrictions for your pre-bed workout routine?
Additional comments or anything else you'd like us to know?
Submit
Should be Empty: