General Sleep Quiz
Start by answering questions one through three. Review your results from the first section and then move on to questions four through eleven.

1) Do you snore loud enough to be heard in another room? yes no

2) Has someone seen you stop breathing when you sleep? yes no

3) Do you fall asleep while driving or at stop signals yes no

Answers: The answer to questions one through three should be no. An answer of yes to any of these questions means that you have a very high likelihood of having a significant sleep disorder such as sleep apnea. You should seek help as soon as possible. You should make an appointment to see your doctor or a sleep specialist.

If your answer to each of the above questions is no, continue by answering questions four through eleven.

4) Do you snore regularly? yes no

5) Does your spouse sleep in another room because of your snoring? yes no

6) Do you wake up with headaches? yes no

7) Do you wake up tired after sleeping eight hours? yes no

8) Do you fall asleep during quiet, relaxed times of the day after
sleeping eight hours the previous night? yes no

9) Do you drink more than three caffeinated beverages a day? yes no

10) Do you drink coffee or tea at bedtime and have no trouble going to sleep? yes no

11) Do you get up frequently to urinate? yes no

Sleepiness Quizzes
Epworth Sleepiness Scale
Complete the following questionnaire using the following scoring system to determine where you fall on the sleepiness scale:

0= no chance of dozing
1= slight chance of dozing
2= moderate chance of dozing
3= high chance of dozing

If your total score is ten or greater, it is highly recommended that you seek the help of your physician or sleep specialist. Excessive sleepiness is a common problem that is usually the result of a correctable sleep disorder.

The Sleep Center’s Sleepiness Scale

If your total score is ten or greater, it is highly recommended that you seek the help of your physician or sleep specialist.

Our scale takes into account the effect that commonly used stimulants will have on sleepiness. Sleep disorders develop over time and we often compensate by using readily available, socially accepted methods to compensate for our sleepiness.

Sleep Quality Quiz
Are you sleeping more than 7 hours a night and still tired when you wake up? yes no

Do you need more than 30 minutes to fall asleep when you turn the lights out? yes no

Do you sleep less than 7 hours a night? yes no

Do you have trouble getting comfortable when you want to sleep? yes no

Do you have to move frequently to get comfortable to fall asleep? yes no

Do you drink more than three caffeinated beverages a day? yes no

Do you wake up frequently during your sleep? yes no

Do you frequently have a hard time going back to sleep when you wake during your sleep? yes no

Does your bedmate complain of being kicked by you while you sleep? yes no

Do you walk in your sleep? yes no

Do you talk in your sleep? yes no

Do you twitch in your sleep? yes no

Does your bedmate complain of you moving during your sleep? yes no

Do you strike or hit your bedmate during sleep? yes no

Do you fall out of bed during your sleep? yes no

Answering yes to any of the above questions suggest the possibility that a sleep disorder is present. These symptoms often reflect problems that can be helped and result in improved sleep.

If you answered yes to one or more of these questions, discuss the questions and your answer with your doctor on your next visit. Feel free to contact us to review your answers with you.