1) How much sleep do you get each night on average? *


2) Which of the following reasons explain why you cannot sleep? *

There are many signs and symptoms of insomnia that include the following:

  • Difficulty falling asleep
  • Awakening through the night
  • Awakening early
  • Sleep is non-restorative
  • Daytime sleepiness
  • Irritability, anxiety, depression
  • Lack of concentration
  • Accidents and errors
  • Headaches
  • GI symptoms

3) What do you use to help you sleep? *

When we don't get adequate sleep, our quality of life is compromised. Most of us would do almost anything to sleep well and be refreshed in the morning. We review some of the most common options that are used as sleep aids.

4) Do you have any of these conditions that are often caused or aggravated by insomnia? *

5) Do you eat a healthy diet? *