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Sleep Disorder Survey

The Sleep Disorder Survey is a tool used to evaluate sleep disorders. It is a self-report measure that includes questions about sleep habits and experiences. The survey can be used to help diagnose sleep disorders and to track the severity of symptoms over time.

1 minute to complete

Eligibility

Anyone who experiences difficulty sleeping or has symptoms of a sleep disorder may take the survey.

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Questions for Sleep Disorder Survey

Questions

1.

Do you have difficulty falling asleep?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
2.

Do you wake up frequently during the night?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
3.

Do you wake up feeling tired?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
4.

Do you have difficulty staying asleep?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
5.

Do you snore?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
6.

Do you have nightmares?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
7.

Do you have daytime sleepiness?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
8.

Do you have difficulty concentrating during the day?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
9.

Do you have irritability during the day?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
10.

.Do you have changes in mood or energy levels during the day?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure

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Here are some FAQs and additional information
on
Sleep Disorder Survey

What is the purpose of this survey?

The purpose of this survey is to collect information about people's sleep habits and experiences in order to better understand sleep disorders.

Are sleep disorders genetic?

Currently, a few sleep disorders have an established genetic basis. These are fatal familial insomnia, familial advanced sleep-phase syndrome, chronic primary insomnia, and narcolepsy with cataplexy. Insomnia is quite common, and yes, it can be hereditary.

What information will I be asked to provide?

You will be asked to provide information about your sleep habits and experiences, including how often you have trouble sleeping, how long you have been experiencing sleep problems, and what kinds of sleep problems you have. You will also be asked about any medical conditions you have that could affect your sleep, and any medications you are taking.

Is the survey confidential?

The survey is confidential and your answers will be kept anonymous.

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