SELF TEST for SLEEP DISORDER  
 
Read more about Sleep Disorder
Please provide us with your gender.
Gender : Male Female  
 
Most people spend one-third of their life sleeping. The quality of sleep affects the quality of your life. One out of three people in the United States have a sleep disorder. Most sleep disorders can be corrected if they are aware that there is a problem.
 
1. I have difficulty falling asleep.
 
Constantly
Often
Sometimes
Rarely
Never
   
2. Thoughts race through my mind, preventing me from sleeping.
 
Constantly
Often
Sometimes
Rarely
Never
   
3. I am afraid to go to sleep.
 
Constantly
Often
Sometimes
Rarely
Never
   
4. I wake up during the night and can't go back to sleep.
 
Constantly
Often
Sometimes
Rarely
Never
   
5. I worry about things and have trouble relaxing.
 
Constantly
Often
Sometimes
Rarely
Never
   
6. I wake up earlier than I would like to.
 
Constantly
Often
Sometimes
Rarely
Never
   
7. Do you often wake up gasping for breath?
 
Constantly
Often
Sometimes
Rarely
Never
   
8. I feel sad and depressed.
 
Constantly
Often
Sometimes
Rarely
Never
   
9. I've been told that I snore.
 
Constantly
Often
Sometimes
Rarely
Never
   
10. I've been told that I stop breathing while I sleep, although I don't remember when I wake up.
 
Constantly
Often
Sometimes
Rarely
Never
   
11. I have high blood pressure.
 
Yes
no
   
12. I've gained weight?
 
Yes
no
   
13. I sweat excessively.
 
Constantly
Often
Sometimes
Rarely
Never
   
14. I've noticed my heart pounds or beats irregularly at night.
 
Constantly
Often
Sometimes
Rarely
Never
   
15. I get morning headaches.
 
Constantly
Often
Sometimes
Rarely
Never
   
16. I suddenly wake up gasping for air.
 
Constantly
Often
Sometimes
Rarely
Never
   
17. I am overweight.
 
Yes
no
   
18. I have little or no sex drive.
 
Constantly
Often
Sometimes
Rarely
Never
   
19. I feel sleepy during the day, even if I slept through the night.
 
Constantly
Often
Sometimes
Rarely
Never
   
20. I have had trouble concentrating in school or at work.
 
Constantly
Often
Sometimes
Rarely
Never
   
21. When I am angry or surprised, I feel as if I'm going limp.
 
Constantly
Often
Sometimes
Rarely
Never
   
22. I have fallen asleep while driving.
 
Constantly
Often
Sometimes
Rarely
Never
   
23. I feel as if I go around in a daze.
 
Constantly
Often
Sometimes
Rarely
Never
   
24. I have experienced vivid dream-like scenes upon falling asleep or waking.
 
Constantly
Often
Sometimes
Rarely
Never
   
25. I have fallen asleep during physical effort.
 
Constantly
Often
Sometimes
Rarely
Never
   
26. I feel as if I am hallucinating when I fall asleep.
 
Constantly
Often
Sometimes
Rarely
Never
   
27. I feel as if I have to cram a full day into every hour to get anything done.
 
Constantly
Often
Sometimes
Rarely
Never
   
28. I have fallen asleep when laughing or crying.
 
Constantly
Often
Sometimes
Rarely
Never
   
29. I have trouble at work because of sleepiness.
 
Constantly
Often
Sometimes
Rarely
Never
   
30. I have vivid nightmares soon after falling asleep.
 
Constantly
Often
Sometimes
Rarely
Never
   
31. I fall asleep during the day.
 
Constantly
Often
Sometimes
Rarely
Never
   
32. No matter how hard I try to stay awake, I fall asleep.
 
Constantly
Often
Sometimes
Rarely
Never
   
33. I feel unable to move when waking up or falling asleep.
 
Constantly
Often
Sometimes
Rarely
Never
   
34. I wake up with heartburn.
 
Constantly
Often
Sometimes
Rarely
Never
   
35. I have a chronic cough.
 
Constantly
Often
Sometimes
Rarely
Never
   
36. I have to use antacids almost every week for stomach trouble.
 
Constantly
Often
Sometimes
Rarely
Never
   
37. I have morning hoarseness.
 
Constantly
Often
Sometimes
Rarely
Never
   
38. I wake up at night coughing or wheezing.
 
Constantly
Often
Sometimes
Rarely
Never
   
39. I have frequent sore throats.
 
Constantly
Often
Sometimes
Rarely
Never
   
40. Other than when exercising, I still have muscle tension in my legs.
 
Constantly
Often
Sometimes
Rarely
Never
   
41. I have noticed (or others have commented) that parts of my body jerk.
 
Constantly
Often
Sometimes
Rarely
Never
   
42. I have been told I kick at night.
 
Constantly
Often
Sometimes
Rarely
Never
   
43. I have aching or "crawling" sensations in my legs.
 
Constantly
Often
Sometimes
Rarely
Never
   
44. I have leg pain during the night.
 
Constantly
Often
Sometimes
Rarely
Never
   
45. Sometimes I just have to move my legs at night -- I can't keep them still.
 
Constantly
Often
Sometimes
Rarely
Never
   
46. I wake up with sore or achy muscles.
 
Constantly
Often
Sometimes
Rarely
Never
   
 
 
   
 
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