Spiegel Sleep Questionnaire

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About
Science
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Shop

Home
About
Science
Reviews
FAQ
Contact
Shop

Home
About
Science
Reviews
FAQ
Contact
Shop

Spiegel Sleep Questionnaire

Night from

For example: If you went to bed on Monday, September 15th and woke up on Tuesday, September 16th, you would fill it out as:
Night from Sept 15 to Sept 16

How long did it take you to fall asleep last night?

5 – Very little time 4 – Little time 3 – Moderate amount of time 2 – Long time 1 – Very long time (I stayed awake for a very long time) 0 – Don’t know

Did you sleep well?

5 – Yes, perfectly (peaceful sleep, no awakenings) 4 – Yes, well 3 – Moderately well 2 – No, poorly 1 – No, very poorly (restless sleep, frequent awakenings) 0 – Don’t know

How long did you sleep?

5 – Very long (I didn’t wake up spontaneously) 4 – Long 3 – Moderately long 2 – Short 1 – Very short (I woke up far too early) 0 – Don’t know

Did you wake up during the night?

5 – Never (I slept straight through) 4 – Rarely 3 – Relatively often 2 – Often 1 – Very often (repeated awakenings) 0 – Don’t know

Did you have dreams?

5 – None 4 – Only a few 3 – Moderately 2 – A lot 1 – A great deal and particularly vivid dreams 0 – Don’t know

How do you feel this morning?

5 – Excellent shape 4 – Good shape 3 – Moderate shape 2 – Poor shape 1 – Very poor shape (tired, downcast) 0 – Don’t know

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