Custom Comfort Questionnaire

Name *

Email *

What size mattress are you looking for? (Click down arrow to see more options)

TwinFullQueenKing

What is your budget? (Click down arrow to see more options)

250-399399-599599-799799-999999-12991299-15991599-2000

Do you want to try your mattress in our store before you buy it?

YesNo

Who is the mattress for?

Which position are you usually in during sleep? (Click down arrow to see more options)

SideBackStomach

What is your preference comfort level?

FirmExtra FirmMedium SoftSuper Soft

Will there be two people sleeping on the bed the majority of the time?

YesNo

Age? (Click down arrow to see more options)

Under 1515-1920-2930-3940-4950-5960-69Over 70

Weight of 1st person? (Click down arrow to see more options)

Under 100 lbs100-150 lbs150-200 lbs200-250 lbs250-300 lbsOver 300 lbs

Weight of 2nd person? (Click down arrow to see more options)

Under 100 lbs100-150 lbs150-200 lbs200-250 lbs250-300 lbsOver 300 lbs

What brand of Mattress are you currently sleeping on?

Why are you looking to replace your current mattress? (Click down arrow to see more options)

Size upgradeMattress too softMattress too hardMattress is sagging in middleOther

Do you and/or your sleeping partner have any conditions that may affect the quality of your sleep, such as back pain, acid reflux, etc. List Below?

Do you like a firm edge when sitting on your mattress?

YesNo

Do you prefer a soft edge when sitting on your mattress?

YesNo

Are you interested in an adjustable base to be able to raise the head and/or foot of your mattress?

YesNo

How many hours of sleep do you typically get each night?

Would you like your mattress set delivered and set up?

Would you like us to haul away your old set?

Do you need a bed frame?

YesNo

Do you need a mattress protector?

YesNo

Would you like a mattress pro to call you?

YesNo

If yes what time of the day are you available?

What is your phone number?

Remember you are dealing with a family-owned business. We do not pressure you or promise you things that are not true. We want you to love your new mattress!

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