Mattress Quiz Howell Furniture - Beaumont, Port Arthur, Lake Charles, Texas, Louisiana

Email Address: *

Name:

Phone Number:

1. I feel too hot or too cold when trying to fall asleep at night.Yes
No

2. Do you toss and turn while you sleep?Yes
No

3. Do you often feel unmotivated?Yes
No

4. Do you sometimes doze off during the day?Yes
No

5. Do you feel depressed?Yes
No

6. Do you read or watch TV in bed?Yes
No

7. Do you share your bed with your bed with spouse or children?Yes
No

8. In the past year, have you suffered from insomnia?Yes
No

9. Is your mattress over 5 years old?Yes
No

10. Do you sleep better in hotels than in your own bed?Yes
No

How old is your mattress?

What side do you sleep on?

How many hours of sleep do you get?

How often do you wake up at night?