Sleeping Habits Survey Template

Not everyone sleeps at night or follows the same schedule each day. This questionnaire uses a main sleep period so adults with daytime or changing sleep schedules can answer. Use it for a short, voluntary snapshot before planning a discussion or a more detailed study. A recalled week cannot show exactly what happened each day.

Use a consistent reference period and explain what counts as the main sleep period. Let participants say that they cannot estimate a duration or that their schedule varies. Do not treat uncertainty as poor sleep.

Carney and colleagues developed the Consensus Sleep Diary with expert review and participant focus groups. Their 2012 abstract describes “collaborations with insomnia experts and potential users.” The sleep diary study illustrates the value of checking instructions with the people who will use them. This seven-question weekly snapshot is a separate, original questionnaire. It does not reproduce the diary, carry its measurement properties, or replace prospective daily recording when a research protocol calls for it.

Think about your sleep during the past seven days. Your main sleep period means your longest sleep in each 24-hour day, whether it happened at night or during the day. Every question is optional. This is a routine survey, not a medical assessment. Do not include diagnoses, medication details, names, or contact information.

State the exact seven-day period and use the same wording for every participant. Pilot the main-sleep explanation with people on different schedules. Avoid changing it to “bedtime” if the audience includes daytime sleepers or people who split sleep into several periods.

Explain the purpose, who can see the responses, and the intended use of group summaries. SurveyLegend’s research ethics discussion can help frame that invitation. Do not make participation part of a performance review or use the answers to decide whether someone is fit for work. This form asks about routines; individual health concerns need an appropriate professional conversation outside the survey.

Copy this prompt into an AI assistant to draft the questions. Review the draft, then build and customize the survey in SurveyLegend before sharing.

Describe the schedule groups before comparing answers. A report of mainly daytime sleep should not be automatically classified as a problem. Keep the duration bands as categories and show how many respondents could not estimate their sleep. Do not calculate an average by pretending the open-ended bands have exact values.

Read schedule variation, rest opportunities, and barriers alongside one another. They can suggest topics for follow-up, but the survey cannot show that one behavior caused another. Naps are counted separately from the main sleep estimate; do not add the nap-day count to sleep hours. Review the final comments with open-ended questions guidance, and remove identifying details before sharing examples. Keep the results descriptive rather than assigning “good sleeper” or “bad sleeper” labels.