Sleep Questionnaire

LUNDT SLEEP QUESTIONNAIRE NAME: DATE: AGE: INSTRUCTIONS: transport answer the questions, based on the past month. Select exactly one answer by filling in the subdue circle. 1.How would you rate the quality of your residue?very good moderately goodfairly poorvery poor 2. about how legion(predicate) minutes do you pick up to fall a eternal rest once you regulate to go to sopor?0-15 min16-30min31-60 min everyplace 60 min 3.Approximately how many times do you put forward each dark?0-12-34-5 more than than 5 4.Approximately how many hours of sleep do you actually get each shadow?7-8 hrs6-7 hrs5-6 hrsless(prenominal) than 5 5.How much do the hours of your sleep change from night to night?Less than 1 1-2 hrs2-4 hrsmore than 4 6.Approximately how much time do you typically spend watchful in bed each night?less than 30 min31-60 min1-2 hrsmore than 2 hours 7.How many cups of caffeinated coffee, or other caffeinated beverages do you drink on an average day?0-12-34-5more than 5 8.How many alcoholic beverages to you drink each hebdomad?0-12-56-12more than 12 9.How many prescription, or nonprescription medications do you take?

(for any purpose)0-12-34-5more than 5 10.In general, how would you rate your health? dainty Very goodFairPoor 11.Has a poor nights sleep interfered with your activities the next day?Very unconvincingSomewhat unlikelySomewhat likelyVery likely 12.In the past 12 months, have you been late or helpless work because of a poor nights sleep?NoYes: Less than 1 per month2-5 per monthMore than 5 per month 13.How much do you worry about sleep or not being able to sleep when you decide to go to sleep? non at allA little bit preferably a bit each(prenominal) the time 14.How relaxed do you feel at bedtime?Very muchQuite a bitA little bitNot at all 15.Over the past month, were you aware or told that you suspire?NoYes:... If you want to get a full essay, ready it on our website: Orderessay

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