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Sleep Test

Answer this questionnaire to see if you have any symptoms of sleep/wake disorders. Give yourself one point for each statement that you answer "yes". See how to score your sleep below the questions.

  1. I have been told that I snore.
  2. I have been told that I hold my breath while I sleep.
  3. I have high blood pressure.
  4. My friends and family say that I'm often grumpy and irritable.
  5. I wish I had more energy.
  6. I sweat excessively during the night.
  7. I have noticed my heart pounding or beating irregularly during the night.
  8. I get morning headaches.
  9. I suddenly wake up gasping for breath.
  10. I am overweight.
  11. I seem to be losing my sex drive.
  12. I often feel sleepy and struggle to remain alert.
  13. I frequently wake with a dry mouth.
  14. I have difficulty falling asleep.
  15. Thoughts race through my mind and prevent me from sleeping.
  16. I anticipate a problem with sleep several times a week.
  17. I wake up and cannot go back to sleep.
  18. I worry about things and have trouble relaxing.
  19. I wake up earlier in the morning than I would like to.
  20. I lie awake for half an hour or more before I fall asleep.
  21. I often feel sad and depressed.
  22. I have trouble concentrating at work or school.
  23. When I am angry or surprised, I feel like my muscles are going limp.
  24. I have fallen asleep while driving.
  25. I often feel like I am in a daze.
  26. I have experienced vivid dreamlike scenes upon falling asleep or awakening.
  27. I have fallen asleep in social settings such as the movies or at a party.
  28. I have trouble at work because of sleepiness.
  29. I have dreams soon after falling asleep or during naps.
  30. I have "sleep attacks" during the day no matter how hard I try to stay awake.
  31. I have had episodes of feeling paralyzed during my sleep.
  32. I wake up at night with an acid/sour taste in my mouth.
  33. I wake up at night coughing or wheezing.
  34. I have frequent sore throats.
  35. During the night I suddenly wake up feeling like I am choking.
  36. Other than when exercising, I still experience muscle tension in my legs.
  37. I have noticed (or others have commented) that parts of my body jerk during sleep.
  38. I have been told that I kick at night.
  39. When trying to go to sleep, I experience an aching or crawling sensation in my legs.
  40. I experience leg pain or cramps at night.
  41. Sometimes I can't keep my legs still at night, I just have to move them to feel comfortable.
  42. Even though I slept during the night, I feel sleepy during the day.

How to score your sleep

Questions 1-13: If you answered "yes" to three or more boxes, you show symptoms of sleep apnea-a potentially serious disorder which causes you to stop breathing repeatedly, often hundreds of times in the night during your sleep.

Questions 14-21: If you answered "yes" to three or more boxes, you show symptoms of insomnia - a persistent inability to fall asleep or stay asleep.

Questions 22-31: If you answered "yes" to three or more boxes, you show symptoms of narcolepsy-a life-long disorder characterized by uncontrollable sleep attacks during the day.

Questions 32-35: If you answered "yes" to two or more boxes, you show symptoms of gastroesophageal reflux-a disorder caused by acid "backing up" into the esophagus during sleep.

Questions 36-42: If you answered "yes" to three or more boxes, you show symptoms of periodic limb movement disorder-uncontrollable leg or arm jerks during sleep, or restless leg syndrome-uncomfortable feelings in the legs at night.

If you are having sleep problems, please talk with your doctor and ask for a referral for appropriate sleep tests.

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