The Paleo Mom is a scientist turned health educator and advocate.

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Go To Bed Post-Challenge Sleep Score Survey (14 Days)

Go to Bed-coverWelcome to the Go To Bed 14 Day Post-Challenge Sleep Score Survey! This quick anonymous survey will only take you a couple of minutes (it’s only 25 questions!) but will help you see how much improvement you’ve made to your sleep after doing the 14-Day Go To Bed Challenge!

This is the survey to do AFTER you’ve completed your challenge.

This survey is one of the tools created for Go To Bed: 14 Easy Steps to Healthier Sleep. When you complete this anonymous survey, you’ll get a Sleep Score: a number between 0 and 100 that tells you whether you’re getting enough good quality sleep. The great thing about quantifying your sleep with this survey (okay, technically this is only semi-quantitative analysis) is that you can really easily see changes to your sleep score over time. It’s a great way to measure success, figure out if you’re still on track, or identify what needs more work.

Complete this anonymous survey after you’ve completed the 14-Day Go To Bed Challenge (are you part of the Facebook and Instagram communities yet?) to see how your focus on sleep over the last two weeks has impacted your health!

For simplicity of data analysis (all anonymous!), please only use this survey page if you’re checking your Sleep Score 30 days after you started the 14-Day Go To Bed Challenge.  If you’re calculating your Sleep Score at a different time point, please use the links below:

Note: Entering an e-mail address below is completely optional. If you do enter one, your survey results will also be e-mailed to you! And, I will never sell or share your e-mail address with anyone!

Calculate Your Check-in Post-Challenge Sleep Score

Email (optional)
Do you have a hard time falling asleep?
Do you feel like you need caffeine to wake up in the morning?
Do you struggle to wake up and/or get out of bed in the morning?
Do you keep lights dim during the evening (after the sun goes down)?
Do you need to use an alarm clock to wake up in the morning?
Do you get at least 7 hours of sleep a night (not counting the time it takes you to fall asleep)?
Do you go to bed at the same time every night (a routine bedtime)?
Do you keep a daily meditation practice?
Do you drink three or more cups of coffee (or other caffeinated beverage or energy drinks) per day?
Do you get at least 30 minutes of sunlight (real or from a sun lamp) a day?
Do you eat within two hours of your bedtime?
Do you stick to a strict, relaxation-oriented bedtime routine?
Do you use or watch screens with blue light (TV, cell phone, computer, or laptop) within one hour of your bedtime?
Do you eat foods that contain added sugars after lunch?
Do you sleep throughout the night without interruption (eg. getting woken up by a child, or waking up in the night to use the bathroom)?
Are you physically active at least 30 minutes per day?
Do you consume caffeine after noon?
Do you eat at least one serving of complex carbohydrates with your dinner?
Do you feel anxious or depressed?
Do you feel tired at any point during the day (other than close to bedtime; e.g., energy dips in the afternoon)?
When you don't have to get up in the morning, do you sleep in?
Do you feel restless at night (e.g., tossing and turning, checking the alarm clock several times a night)?
Do you get woken up by dreams or nightmares at night?
Does it take you more than 20 minutes to fall asleep and/or are you a "clock watcher" (constantly calculating how much sleep you'll get if you fall asleep)?
Do you wake up feeling happy and ready to tackle the day?


Be sure to click Submit Quiz to see your results!