Performance Body Profile - Silver Mattress - Custom Sleep Technology, LLC

Gender*
- Male
- Female
Body Characteristic*
- Profile 1
- Profile 2
- Profile 3
- Profile 4
Choose One
Body Characteristic
- Profile 1
- Profile 2
- Profile 3
- Profile 4
Choose One
Shoulders and Hips Males
- Shoulders are Wider than Your Hips
- Hips are Wider than Your Shoulders
- Shoulders and Hips are the Same Width
Shoulders are Wider by Approximately:*
- 1 Inch to 3 Inches
- 4 Inches to 6 Inches
- Greater than 6 Inches
Female Shoulders and Hips
- Shoulders are Wider than Your Hips
- Hips are Wider than Your Shoulders
- Shoulders and Hips are the Same Width
Shoulders are Wider by Approximately:*
- 1 Inch to 3 Inches
- 4 Inches to 5 Inches
- Greater than 5 Inches
Do you experience back pain in the morning?
- Yes
- No
Back Pain*
- Neck Area
- Shoulder Area
- Middle Of Your Back
- Lower Back
Do you experience back pain in the morning?
- Yes
- No
Back Pain*
- Neck Area
- Shoulder Area
- Middle Of Your Back
- Lower Back

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Height*
Your height is a preliminary piece of data that will help our engineers:
Weight*
Primary Sleeping Position*
Any additional physical issues we should be aware of?

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Partners Height*
Partners Weight*
Partners Sleeping Position*
Partner's First Name*
Additional Info.

Identify any physical issues that affect your partner's sleep.

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Performance Body Profile Questionnaire