One in five polled Americans say they "rarely or never" wake up feeling well-rested — and a new survey has identified the factors keeping sleep at bay. How often do you wake up feeling well rested?

Stress in general was labeled as the biggest culprit, negatively impacting 74% of Americans' sleep routines, according to the survey by U.S. News & World Report. Does stress affect your sleep routine?

Based on the survey of 1,200 American adults, these were the biggest concerns that kept Americans from drifting off in 2023. Have any of these affected your sleep in the past year? Select all that apply.