Client Sleep Assessment

Sleep: Your Body’s Most Powerful Reset Button

Sleep isn’t just rest—it’s restoration, rejuvenation, and the foundation of your metabolism and overall health. When your sleep is disrupted, it can impact your hormones, energy, cognitive function, and even weight loss.

This assessment helps you determine whether stress, lifestyle habits, or hormonal imbalances are stealing your sleep. By identifying key patterns, you’ll gain insight into how to reclaim deep, restorative sleep, wake up refreshed, and operate at peak performance.

You deserve to wake up feeling unstoppable. Let’s optimize your sleep so you can optimize your life.

Take this simple self-test to see if your adrenals are on overload.

For each statement, assign a number between 1 and 5.

I experience problems falling asleep and/or staying asleep. I do not sleep Soundly throughout the night (if I get up to use the bathroom I am not able to fall back in 5 min).

	1	2	3	4	5

1 is Not True, 5 is Very True

I have energy highs and lows throughout the day or feel tired all the time.

	1	2	3	4	5

1 is Not True, 5 is Very True

I crash or feel like crashing after lunch.

	1	2	3	4	5

1 is Not True, 5 is Very True

I have no energy to go to the gym or exercise in the afternoon or after work. (Without taking any kind of stimulant)

	1	2	3	4	5

1 is Not True, 5 is Very True

I fall asleep within 10 minutes of hitting the pillow.

	1	2	3	4	5

1 is Not True, 5 is Very True

I need an alarm clock to get up in the morning.

	1	2	3	4	5

1 is Not True, 5 is Very True

I hit the snooze button more than a couple times and have a hard time physically getting out of bed.

	1	2	3	4	5

1 is Not True, 5 is Very True

I need caffeine (coffee, tea, cola, etc.) to get going in the morning.

	1	2	3	4	5

1 is Not True, 5 is Very True

I frequently get less than 8 hours of sleep per night.

	1	2	3	4	5

1 is Not True, 5 is Very True

I suffer from depression, or have recently been experiencing feelings of depression such as sadness, or loss of motivation.

	1	2	3	4	5

1 is Not True, 5 is Very True

I find that I am easily irritated or upset.

	1	2	3	4	5

1 is Not True, 5 is Very True

I have had one or more stressful major life events. (ie: divorce, death of a loved one, job loss, new baby, new job)

	1	2	3	4	5

1 is Not True, 5 is Very True

I tend to overwork with little time for play or relaxation for extended periods of time.

	1	2	3	4	5

1 is Not True, 5 is Very True

I crave sweets.

	1	2	3	4	5

1 is Not True, 5 is Very True

I am experiencing increased physical complaints such as muscle aches, headaches, or more frequent illnesses.

	1	2	3	4	5

1 is Not True, 5 is Very True

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Score2

Scoring Your Profile: It is important to note that this is not a diagnostic test and should not be used to diagnose any conditions. It is simply a tool to help assess and customize your program.