Sleep Survey | SlumberWorld | Honolulu, Aiea, Hilo, Kailua-Kona, Maui, Hawaii Furniture Store

Name *

Phone Number *

E-mail Address *

How old is your mattress? *

My preferred sleep position is: *

Side

Stomach

Back

All

Preferred Store Location *

Questions or Comments

I struggle with back pain, joint pain, or other aches and pains. *

Always

Often

Occasionally

Rarely

Never

I toss and turn at night before I can get comfortable. *

Always

Often

Occasionally

Rarely

Never

I feel too hot or too cold when trying to fall asleep at night. *

Always

Often

Occasionally

Rarely

Never

I treat my bedroom like my personal sanctuary. *

Always

Often

Occasionally

Rarely

Never

I sleep better in hotels than I do in my own bed. *

Always

Often

Occasionally

Rarely

Never

I wake up periodically during the night. *

Always

Often

Occasionally

Rarely

Never

I read or watch TV in bed. *

Always

Often

Occasionally

Rarely

Never

I work or use my laptop in bed. *

Always

Often

Occasionally

Rarely

Never

I share my bed with a spouse or sleep partner. *

Always

Often

Occasionally

Rarely

Never

I share my bed with my children or pets. *

Always

Often

Occasionally

Rarely

Never

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