undefined

Sleep Hygiene Index

The Sleep Hygiene Index (SHI) is a self-reported questionnaire developed to assess behaviors and practices that influence sleep quality. It measures how lifestyle factors—such as caffeine intake, bedtime routines, and environmental conditions—affect sleep health. The SHI consists of 13 items rated on a scale that reflects the frequency of poor sleep habits, with higher scores indicating less optimal sleep hygiene.

3 minutes to complete

Eligibility

The Sleep Hygiene Index can be completed by individuals who are at least 18 years old and have the ability to understand and respond to the questions accurately. It is recommended for those who are experiencing difficulties with their sleep patterns and are looking to improve their overall sleep hygiene habits.

Questions for Sleep Hygiene Index

Quick Navigation

Questions

1.

I take daytime naps lasting two or more hours.

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
2.

I go to bed at different times from day to day.

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
3.

I get out of bed at different times from day to day.

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
4.

I exercise to the point of sweating within 1 hour of going to bed.

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
5.

I stay in bed longer than I should two or three times a week.

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
6.

I use alcohol, tobacco, or caffeine within 4 hours of going to bed or after going to bed.

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
7.

I do something that may wake me up before bedtime (for example: play video games, use the internet, or clean).

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
8.

I go to bed feeling stressed, angry, upset, or nervous.

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
9.

I use my bed for things other than sleeping or sex (for example, watch television, read, eat, or study).

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
10.

I sleep on an uncomfortable bed (for example: poor mattress or pillow, too much or not enough blankets).

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
11.

I sleep in an uncomfortable bedroom (for example: too bright, too stuffy, too hot, too cold, or too noisy).

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
12.

I do important work before bedtime (for example: pay bills, schedule, or study).

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always
13.

I think, plan, or worry when I am in bed.

The answer should be a single choice:
  1. Never
  2. Rarely
  3. Sometimes
  4. Frequently
  5. Always

Scoring

Scale Score
Never 0
Rarely 1
Sometimes 2
Frequently 3
Always 4

Interpretation

Score Interpretation
Below 26 Good sleep hygiene
27-34 Normal sleep hygiene
35 above Poor sleep hygiene

Year

Assessments Similar to Sleep Hygiene Index

  • Bedtime Routine Assessment
  • Sleep Quality Scale
  • Insomnia Severity Index
  • Sleep Habits Questionnaire
  • Sleep Patterns Inventory
  • Sleep Environment Checklist

Here are some FAQs and additional information
on
Sleep Hygiene Index

What is the Sleep Hygiene Index used for?

The SHI evaluates sleep-related behaviors to identify poor sleep hygiene practices that may contribute to sleep problems.

Who developed the Sleep Hygiene Index?

The SHI was developed by researchers to provide a reliable and standardized measure of sleep hygiene for both clinical and research applications.

How is the SHI scored?

It includes 13 items rated from 0 (never) to 4 (always). Higher scores indicate poorer sleep hygiene and a greater likelihood of sleep difficulties.

Who can use the SHI?

The SHI is suitable for both professionals and individuals seeking to understand and improve their sleep behaviors and routines.

Want to use this template?

Testimonials

G2 BadgesG2 BadgesG2 BadgesG2 BadgesG2 Badges

What's next? Try out templates like
Sleep Hygiene Index

1000+ Templates, 50+ Categories

Want to create secure online forms and surveys?

Join BlockSurvey.

About Us

BlockSurvey is a privacy-focused platform for collecting data through forms, surveys, assessments, and quizzes. The data collection is end-to-end encrypted, and it ensures complete privacy of your audience from Big Tech. With an array of ready to use templates, it is tailored for the needs of businesses and individuals from Web 3, HR, Mental Health, Sexual Health, Activism and many sensitive areas where data collection needs protection.

SHARE