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Early Black Friday Sale! Use Coupon Code FALL10 at checkout for 10% off online orders.

Sleep Analysis

Our Ergocheck Testing and the information that you supply will take the guess work out of what mattress firmness is right for you on your side of the bed.

Don't buy your next mattress without a proper Sleep Analysis conducted by a qualified Sleep Expert and a Medical Practitioner if you are under current care.

A) Personal Information

Your information remains confidential & will not be shared

1. First Name

Last Name

2. E-mail Address (Required)

2. Phone Number

4. Age

5. Gender

6. Weight (Required)

7. Height

8. Is this mattress for you and a partner?

Yes

No

If Yes, they should also submit their own Sleep Analysis.

B) Mattress & Sleep Information

9. Preferred Sleep Position

Back

Side

Stomach

10. Preferred Firmness

Super Soft

Soft

Medium Soft

Medium

Medium Firm

Firm

Extra Firm

Super Firm

11. Do you suffer from lower back pain?

No

Mild

Moderate

Severe

12. How long have you had your present mattress?

< 3 years

3 to 5 years

6 to 10 years

11 to 15 years

Over 15 years

13. What type of mattress do you presently sleep on?

Innerspring

Sofa bed

Air bed

Foam bed

Water bed

Futon

14. Do You want the bottom of you mattress to feel softer or firmer than the top?

Softer 1 level

Softer 2 levels

Firmer 1 level

Firmer 2 levels

Same both sides

15. What are your 3 most important concerns about sleeping well? Select from the options below:

My mattress is too hard

My mattress is too soft

My partner needs/prefers a different firmness

I feel my partner's movements

I have back pain

I have bad neck pain

I have pressure in my shoulders and hips

I have acid-reflux

My mattress has sagged prematurely

I don't know what to buy

Can I really afford it?

C) Clinical Information (Optional)

16. Have you ever had back Surgery?

Yes

No

17. When was your last visit to a Chiropractor?

Recently

Over 6 months

Last year

Never

18. Are you presently under current care

Yes

No

19. Have you ever had an x-ray of your spine?

Yes

No

20. Additional Comments

woman holding sleep number sign

"We are more than a mattress store, we are comfort and sleep experts."

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Request a Sleep Analysis

Ergo check - Request a Sleep Analysis

FOAMITE INDUSTRIES INC.

1000 Edgeley Boulevard, Vaughan, ON, Canada L4K 4V4

T: 905-660-0477

1-888-FOAMITE (362-6483)

Copyright © 1988-2024 Foamite Industries Inc. All Rights Reserved.

Privacy Statement | Legal Disclaimers

Any information collected is confidential and will never be shared with third parties. It will be used solely to follow through on your request for additional information.

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Access trade pricing and order online for fast pick up or delivery

For business clients that order and use foam on a regular basis

Get instant quotes on various sizes, shapes or block length sheets in a number of different grades

Your business will be verified before access will be granted

Forms of payment:

E-Transfer
Visa, M/C, and PayPal

The Right Foam for the Right Job

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Thank you for giving us the opportunity to supply you with your foam requirements.

We will process your request as soon as possible so that you can order the right foam at the right price for all your comfort needs.

Sincerely,

FOAMITE INDUSTRIES INC.

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