"Sleep Pattern" Questionnaire

Before you visit one of our Bed Centres, take a few minutes to answer the 15 easy questions below. Then, just print your results and bring them to your nearest Beds etc. Present your results to one of our trained Sleep Specialists who will use them to help you find the perfect bed.

1. What is the primary use for the bed you are purchasing?

Yourself Child Guest Bedroom Other

2. Have you established the comfort level you like?

Yes No
If Yes, Firm Support Medium Support Soft Support Other

3. What size bed do you currently sleep on?

Single Double King Super-king

4. How old is your current bed?

1-5 years 6-10 years 11+ years

5. Does your current mattress appear to have a sag or loss of support?

Yes No

6. Does your bed cause any disturbing pain in the following areas:

Lower-back Shoulder/Hips Other No pain

7. Would you consider yourself to be a light sleeper, easily disturbed by motion in your bed?

Yes No

8. Have you recently slept on a bed that was more comfortable than your own?

Yes No

9. Are you tossing & turning frequently while you sleep?

Yes No

10. How did you feel when you woke up this morning?

11. What position do you sleep in?

Back Stomach Side

12. How soon do you need your new bed or mattress?

13. How old are your pillows?

14. What type of pillows do you currently use?

Feather or Down Fibre Filled Latex Memory Foam

15. How many pillows do you sleep with?

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