Sleep Quiz

A good night's sleep is important to your well-being. Since most people spend roughly one-third of their lives asleep, it's easy to see how the quality of sleep directly affects the quality of your life.

One out of every three Americans has a sleep disorder which makes sleeping or waking hours miserable. Many of these people suffer needlessly because they are unaware that a problem exists.

Once detected, most sleep disorders can be corrected. This simple quiz is designed to alert you to any problems resulting from poor-quality sleep. If you have experienced any of the following symptoms in the last year, circle that number.

1.  I have difficulty falling asleep.

2.  Thoughts race through my mind and this prevents me from falling asleep.

3.  I feel afraid to go to sleep.

4.  I wake up during the night and can't go back to sleep.

5.  I worry about things and have trouble relaxing.

6.  I wake up earlier in the morning than I would like to.

7.  I lie awake for half an hour or more before I fall asleep.

8.  I feel sad and depressed.

9.  I've been told that I snore.

10.  I've been told that I stop breathing while I sleep, although I don't remember this when I wake up.

11.  I have high blood pressure.

12.  My friends and family say they have noticed changes in my personality.

13.  I am gaining weight.

14.  I sweat excessively during the night.

15.  I have noticed my heart pounding or beating irregularly during the night.

16.  I get morning headaches.

17.  I have trouble sleeping when I have a cold.

18.  I suddenly wake up gasping for breath during the night.

19.  I am overweight.

20.  I seem to be losing my sex drive.

21.  I feel sleepy during the day even when I slept through the night.

22.  I have had trouble concentration at work or in school.

23.  When I am angry or surprised, I feel like I am going to go limp.

24.  I have fallen asleep while driving.

25.  I feel like I go around in a daze.

26.  I have experienced vivid dreamlike scenes upon falling asleep or awakening.

27.  I have fallen asleep during physical effort.

28.  I feel like I am hallucinating when I fall asleep.

29.  I feel like I have to cram a full day into every hour to get everything done.

30.  I have fallen asleep while laughing or crying.

31.  I have trouble at work or school because of sleepiness.

32.  I have vivid nightmare soon after falling asleep.

33.  I fall asleep during the day.

34.  No matter how hard I try to stay awake, I hall asleep anyway.

35.  I feel unable to move when I am waking up or falling asleep.

36.  I wake up with heartburn.

37.  I have a chronic cough.

38.  I have to use antacids (Rolaids, Tums, Alka-seltzer, etc.) almost every week for stomach trouble.

39.  I have morning hoarseness.

40.  I wake up at night coughing or wheezing.

41.  I have frequent sore throats.

42.  During the night, I suddenly wake up gasping for breath.

43.  Other than when exercising, I still experience muscle tension in my legs.

44.  I have noticed (or others have commented) that parts of my body jerk.

45.  I have been told that I kick at night.

46.  I experienced aching or "crawling" sensation in my legs.

47.  I experienced leg pain during the night.

48.   Sometimes, I can't keep my legs still at night.  I just have to move them.

49.  I awaken with sore or achy muscles.

50.  Even though I slept through the night, I still feel sleepy during the day.

SCORE YOURSELF AS BELOW

Question 1-8

A score of three or more means you show symptoms of insomnia , a persistent inability to fall asleep or stay asleep.

Question 9-21

A score of three or more means you show symptoms of sleep apnea , a life threatening disorder which causes you to stop breathing repeatedly, often several hundred times per night as you sleep.

Question 22-35

A score of three or more reveals symptoms of narcolepsy , a lifelong disorder characterized by uncontrollable sleep attacks during the day.

Question 36-42

A score of three or more reveals symptoms of gastro-esophageal reflux , a disorder caused when acid from the stomach backs up into the esophagus during the night.

Question 43-50

A score of two or more means you show symptoms of nocturnal myoclonus or restless legs syndrome , a disorder characterized by pain or crawling sensations

Please feel free to review this information with your physician.
For further diagnosis and information regarding
the treatment of insomnia or any other sleep
problem you are experiencing, contact:
Mid-West Center for Sleep Disorders
10415 Grand River , Suite: 500; Brighton, MI-48116
Phone: (810) 225-7595 FAX: (810) 225-7597
3937 Patient Care Drive, Suite 102
Lansing, MI 48911

Tel: 517-887-6733 Fax:
517-887-6736

www.mwcsd.com


Copyright © 2005 Midwest Center For Sleep Disorders