Sleep Quiz

Is there a connection between snoring and a sleep disorder?  This questionnaire could help you decide if a sleep disorder study could help you.  Answer each question honestly. 

1.    Are you extremely sleepy during the day?

       Yes   No

2.    Do you fall asleep during work, dinner, or while entertaining friends?

       Yes  No

3.    Do you snore loudly at night?

       Yes  No

4.    Do you stop breathing for short periods at night?

       Yes  No

5.    Do you wake up frequently at night?

       Yes  No

6.    Are you restless at night (do you hit, kick, or slap you bed partner)?

       Yes  No

7.    Do you walk in your sleep?

       Yes  No

8.    Do you wet the bed?

       Yes  No

9.    Do you have morning headaches?

       Yes  No

10.  Are you confused when you wake up and have great difficulty

       "getting going"?

       Yes  No

11.  Have family or friends complained about disturbing changes in your

       personality?

       Yes  No

12.  Do you occasionally forget about tasks you've already finished?

       Yes  No

13.  Do you sometimes see things that aren't there (hallucinations)?

       Yes  No

14.  Do you have trouble maintaining attention and concentrating?

       Yes  No

15.  Do you have "spells" when you unexpectedly drop things?

       Yes  No

16.  Do you ever feel unable to move (or paralyzed) just before you fall

       asleep or wake up?

       Yes  No

17.  Do you have insomnia?

       Yes  No

18.  Do you have a problem with impotence?

       Yes  No

19.  Have you gained more than 10 pounds in the past year?

       Yes  No

20.  Do you wake up in the middle of the night with heartburn?

       Yes  No

       If you answered "yes" to more than five questions, give us a call and

       let's talk more about your sleep.