Restless Legs Syndrome

The following questions have been designed to help identify problems with your sleep. Please answer them as best you can. Once completed, you will be provided information about your risk of having a sleep disorder.

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Excessive Sleepiness

The following questions have been designed to help identify problems with your sleep. Please answer them as best you can. Once completed, you will be provided information about your risk of having a sleep disorder.

  • How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, try to work out how they would have affected you. Use the following scale to choose the most appropriate number for each situation.

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Insomnia

The following questions have been designed to help identify problems with your sleep. Please answer them as best you can. Once completed, you will be provided information about your risk of having a sleep disorder.

  • During the last two weeks

    Please rate the severity of your sleep problem(s).

  • In General

    Please rate the severity of your sleep problem(s).

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Obstructive Sleep Apnea

The following questions have been designed to help identify problems with your sleep. Please answer them as best you can. Once completed, you will be provided information about your risk of having a sleep disorder.