Name *

Phone Number *

Email Address *

How old is your mattress?

My preferred sleep position is:

Side

Stomach

Back

All

Size of mattress you are looking for:

Twin

Twin XL

Full

Full XL

Queen

King

Cal. King

Questions or comments:

What comfort level do you think you are?

Firm

Plush

Pillow Top

I struggle with back pain, joint pain, or other aches and pains

Always

Often

Occasionally

Rarely

Never

I feel too hot or too cold when trying to fall asleep at night

Too Hot

Neutral

Too Cold

I read, use my laptop, or watch TV in bed

Always

Often

Occasionally

Rarely

Never

What is your preference on coil support systems and memory foam?

Only coil support systems

Open to either

Memory foam only

Which statement best fits your mattress buying objective as it relates to quality and price?

Just need basic quality

Quality with some features

High quality product, support & features