Please indicate true or false for the following statements:

True False
1. I go to bed at different times during the week and on weekends, depending on my schedule and social life.
2. I get up at different times during the week and on weekends, depending on my schedule and social life.
3. My bedroom is warm or often noisy.
4. I never rotate or flip my mattress.
5. I drink alcohol within two hours of bedtime.
6. I have caffeinated coffee, tea, colas, or chocolate after 6 pm.
7. I do not exercise on a regular basis.
8. I smoke.
9. I regularly take over-the-counter or prescription medication to help me sleep.
10. When I cannot fall asleep or remain asleep, I stay in bed and try harder.
11. I often read frightening or troubling books or newspaper articles right before bedtime.
12. I do work or watch the news in bed just before turning out the lights.
13. My bed partner keeps me awake by his/her snoring.
14. My bed partner tosses and turns or kicks/hits me during his/her sleep.
15. I argue with my bed partner in bed.