| 1. I feel sleepy during the day, even when I get a good night's sleep. |
True or False |
| 2. I get very irritable when I can't sleep. |
True or False |
| 3. I often wake up at night and have trouble falling back to sleep. |
True or False |
| 4. It usually takes me a long time to fall asleep. |
True or False |
| 5. I often wake up very early and can't fall back to sleep. |
True or False |
| 6. I usually feel achy and stiff when I wake up in the morning. |
True or False |
| 7. I often seem to wake up because of dreams. |
True or False |
| 8. I sometimes wak up gasping for breath. |
True or False |
| 9. My bed partner says my snoring keeps her/him from sleeping. |
True or False |
| 10. I've fallen asleep driving. |
True or False |
