Thinking about a typical night in the last month
How long does it take you to fall asleep?
Thinking about a typical night in the last month
How often do you awaken at night?
Thinking about a typical night in the last month
If you wake during the night, how long are you awake for in total?
Thinking about a typical night in the last month
If you wake too early, how long before your morning alarm do you wake?
How long have you had a problem with your sleep?
*Adapted from Charles M. Morin, PhD, Université Laval, 2325, rue des Bibliothèques, École de Psychologie, Pavillon F.A.S., Quebec, QC G1V 0A6, Canada.
Thinking about a typical night in the last month
How would you rate your sleep quality?
How often does worrying about future events stop you from sleeping?
How often does worrying about not sleeping stop you from sleeping?
How often does bodily discomfort or pain stop you from sleeping?
How often does noise or light levels stop you from sleeping?
*Adapted from Charles M. Morin, PhD, Université Laval, 2325, rue des Bibliothèques, École de Psychologie, Pavillon F.A.S., Quebec, QC G1V 0A6, Canada.
Thinking about the last month
To what extent has poor sleep affected your mood, energy, or relationships?
Thinking about the last month
To what extent has poor sleep affected your concentration, productivity, or work/school life?
Do you feel sleepy enough to nod off during the day without meaning to?
*Adapted from Charles M. Morin, PhD, Université Laval, 2325, rue des Bibliothèques, École de Psychologie, Pavillon F.A.S., Quebec, QC G1V 0A6, Canada.
