Questionnaires

Question 1

General Q
- purpose
- includes

Answer 1

Fills in the gaps
- medical history
- cheif complaint
-current RX

Question 2

Sleep diary
Purpose
Includes

Answer 2

Sleep habit over 2 weeks
Patient perception VS PSG
-view upon awakening and before sleep
-moods, RX, # of arousals

Question 3

Presleep purpose
Purpose
Includes

Answer 3

Asses the last 24 Hr
Standard form

Question 4

Bed-Partner
Purpose
Includes

Answer 4

Checklist of observations
To check another’s observation

Question 5

Morning Questionaires
Purpose
Includes

Answer 5

-to see normal VS. Desired
- overall experience

Question 6

Morning/Evening Q
Purpose
Includes

Answer 6

Morning VS. Evening VS. Neutral
19 Q about time preference
*Best for Circadian Rhythm disorders

Question 7

Subjective sleepiness scale
Purpose
Includes

Answer 7

Quick
Various scales
*weak

Question 8

EDS VS. FATIGUE
Purpose

Answer 8

Difference between EDS and Fatigue, most ppl don’t understand the difference

Question 9

ESS
Purpose
Includes

Answer 9

Chronic fatigue scale
0-3 chance of falling asleep

Question 10

Standford sleepiness Scale
Purpose
Imcludes

Answer 10

Measure sleepiness @ different times
Scale 1-7

Question 11

SWAI
Purpose
Includes

Answer 11

Subscales for different aspects of sleep disorders
9 statements 1-9

Question 12

Berlin Q
Purpose
Includes

Answer 12

Possible OSA and treatment progress
14 Q w/ 1-3 scale

Question 13

Fatigue severity scale
Purpose
Includes

Answer 13

9 descriptions related to fatigue
Scale 1-9