JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Mood: Sleep
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Select your age group
*
6-13 years
14-17 years
18-25 years
26 to 64 years
65+
On average, do you get the correct amount of sleep according to the new National Sleep Foundation recommendations?
*
Yes
No
On the average weekday, do you feel well rested when you wake up?
*
Yes
No
What do you feel is your biggest obstacle in getting to bed at night?
*
Completing school work
Surfing the internet
Reading (not for school or work)
Work related projects
Stress
Other:
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report