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Carpetright Sleep Survey

1. What is your gender? *This question is required.
2. How old are you? *This question is required.
3. Which region do you live in? *This question is required.
4. Do you have children? *This question is required.
5. Do you have a partner? *This question is required.
6. What is your employment status? *This question is required.
7. On average, how many hours of sleep do you get a night? *This question is required.
8. Are you happy with the amount of sleep you get? *This question is required.
9. Do you take naps throughout the day? *This question is required.
10. On average how many nights a week do you feel you get a good night's sleep? *This question is required.
11. How often do you experience nightmares? *This question is required.
12. Please select the most relevant answer for each of the statements below *This question is required.
Space Cell Strongly agreeAgreeNeither agree nor disagreeDisagreeStrongly disagree
I often wake up feeling refreshed.
I often wake up feeling content.
I often feel tired.
I get enough sleep.
I often feel stressed.
I get annoyed at my partner when they disrupt my sleep.
I often have a negative dream involving my partner.
I often have a positive dream involving my partner.
If I have a negative dream involving my partner, I often have negative feelings towards them when I wake up.
13. In the last week have you had any of the following problems with your sleep? Select all that apply *This question is required.
  • * This question is required.
14. Which of the following factors is most likely to keep you awake at night? *This question is required.
15. Which of the following thoughts is most likely to keep you awake at night? *This question is required.
16. Which of the following activities do you do most frequently before going to sleep? Select all that apply. *This question is required.
  • * This question is required.
17. How often do you change your bedsheets? *This question is required.
18. What is the age of your mattress? *This question is required.
This question requires a valid email address.
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