--- generated_by: surveylegend-page-markdown title: Sleeping Habits Survey Template | SurveyLegend description: Explore recent sleep schedules, rest opportunities, and routine barriers with seven optional questions. Build a nonclinical survey in SurveyLegend. canonical: https://www.surveylegend.com/survey-examples-templates/healthcare-and-hospital-surveys/sleeping-habits-template/ --- # Sleeping Habits Survey Template Use this sleeping habits survey template to understand recent sleep schedules and the practical conditions around rest. Seven optional questions cover schedule variation, estimated sleep, naps, and routine barriers. Adapt the questionnaire in SurveyLegend for adults without assigning a sleep-health score. [Try this template ](https://app.surveylegend.com/register/)[Preview template](https://www.surveylegend.com/survey-examples-templates/healthcare-and-hospital-surveys/sleeping-habits-template/#try-template) Preview on a device Show the desktop survey layout Show the tablet survey layout Show the mobile survey layout ![](https://www.surveylegend.com/survey-template-media/demo-backgrounds/sleeping-habits-template-background.avif) **SurveyLegend** 1 / 7 Sleeping Habits Survey During the past seven days, when did your main sleep period most often occur? Mostly at night Mostly during the day The timing changed substantially from day to day +2 more answer choices Next → Sleeping Habits Survey [Preview](https://www.surveylegend.com/survey-examples-templates/healthcare-and-hospital-surveys/sleeping-habits-template/#try-template) Share [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fhealthcare-and-hospital-surveys%2Fsleeping-habits-template%2F)[LinkedIn ](https://www.linkedin.com/sharing/share-offsite/?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fhealthcare-and-hospital-surveys%2Fsleeping-habits-template%2F)[X ](https://x.com/intent/tweet?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fhealthcare-and-hospital-surveys%2Fsleeping-habits-template%2F\&text=Sleeping%20Habits%20Survey%20Template)[Reddit](https://www.reddit.com/submit?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fhealthcare-and-hospital-surveys%2Fsleeping-habits-template%2F\&title=Sleeping%20Habits%20Survey%20Template) Use this sleeping habits survey template to understand recent sleep schedules and the practical conditions around rest. Seven optional questions cover schedule variation, estimated sleep, naps, and routine barriers. Adapt the questionnaire in SurveyLegend for adults without assigning a sleep-health score. ## When to use this sleeping habits survey 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. ## Keep a weekly snapshot separate from a sleep diary 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 ](https://scholars.duke.edu/publication/782084)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. **Create your sleeping habits survey in SurveyLegend** 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. ## Seven sleeping habits questions 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. Try the survey ## A little feedback. A clearer picture. Explore this 7-question example at your own pace. Every question is optional. Preview on a device Show the survey at full desktop width Resize the survey to a tablet-width preview Resize the survey to a mobile preview with scrolling inside the frame Choose a look Use Classic: a white survey card over the background photo Use Light: dark text over a light tint covering the background photo Use Dark: light text over a dark tint covering the background photo SurveyLegend demo Question 1 of 7 ### Sleeping Habits Survey 01 During the past seven days, when did your main sleep period most often occur? Choose one answer, or skip this question. Mostly at night Mostly during the day The timing changed substantially from day to day Sleep was split without one clearly longest period Prefer not to say 02 During the past seven days, how much did the start of your main sleep period vary from day to day? Choose one answer, or skip this question. Usually within about 30 minutes Usually by more than 30 minutes to 1 hour Usually by more than 1 to 2 hours Usually by more than 2 hours No main sleep period or unable to estimate 03 During the past seven days, about how much actual sleep did you usually get in your main sleep period, excluding time awake? Choose one answer, or skip this question. Less than 4 hours 4 to less than 6 hours 6 to less than 8 hours 8 to less than 10 hours 10 hours or more No main sleep period or unable to estimate 04 On how many of the past seven days did you have enough time available for the sleep you wanted? Choose one answer, or skip this question. 0 days 1–2 days 3–4 days 5–6 days 7 days Unable to judge 05 On how many of the past seven days did you nap or sleep outside your main sleep period? Choose one answer, or skip this question. 0 days 1–2 days 3–4 days 5–6 days 7 days No main sleep period or unable to estimate 06 What most affected your opportunity to follow the sleep schedule you wanted during the past seven days? Choose one answer, or skip this question. Work or study schedule Caregiving responsibilities Noise, light, or the sleeping space Social or leisure plans Travel or a change in routine Another factor Nothing in particular Prefer not to say 07 What is one practical change, if any, that would make your preferred sleep schedule easier to follow? Please leave out medical or personal details. Share your answer, or skip this question. #### One last look Review your answers before submitting this demo. 0 answered #### Thank you for trying the survey! You’ve tried the template from the respondent’s side. Make it your own with SurveyLegend. [Create your own survey](https://www.surveylegend.com/register/) Checking submission availability… This is a demo. We count starts and submissions only. Your answers stay in your browser and are never sent or saved. **—**Starts **—**Submissions Activity is temporarily unavailable. ## Adapt the sleeping habits questionnaire 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 ](https://www.surveylegend.com/research/survey-research-ethics-considerations/)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. ## Printable sleeping habits questionnaire Print the sleeping habits questionnaire for private reflection or a voluntary adult research session. Keep completed sheets with the person or researcher named in the invitation. Paper responses require separate review or manual entry; they do not become online responses automatically. ![First page of the printable Sleeping Habits Survey Template with questions and answer spaces](https://www.surveylegend.com/survey-template-media/pdf-previews/sleeping-habits-template-pdf-preview.avif) [![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download the questionnaire](https://www.surveylegend.com/downloads/survey-templates/sleeping-habits-survey-template.pdf) Export sleeping habits questionnaire as PDF ## Create this survey with an AI prompt Copy this prompt into an AI assistant to draft the questions. Review the draft, then build and customize the survey in SurveyLegend before sharing. ## Prepared survey prompt Create this survey with an AI prompt [](https://www.surveylegend.com/register/) Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend. Already have an account? [Sign in](https://app.surveylegend.com/login/) to create your survey. ## Interpret the sleeping habits responses 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 ](https://www.surveylegend.com/customer-insight/open-ended-survey-questions/)guidance, and remove identifying details before sharing examples. Keep the results descriptive rather than assigning “good sleeper” or “bad sleeper” labels. ## Frequently asked questions ### Can this survey diagnose insomnia or sleep apnea? No. It is an original routine questionnaire without diagnostic thresholds. It cannot establish a sleep disorder or replace assessment by a qualified professional. ### Can people who sleep during the day use it? Yes. The questions refer to the longest sleep period in each 24-hour day, not a required nighttime schedule. People with changing or split schedules can report that variation. ### Is this the Consensus Sleep Diary? No. The cited diary research informs the importance of clear instructions and user review. This weekly questionnaire is a separate tool and should not be presented as that instrument. Healthcare and Hospital Survey Templates 1. 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