Do I Have A Sleep Disorder?

 

A Self Test
Respond to each statement and place your response next to that statement. Please fill out all the information. The results will be sent to your email.

   

   



  I am sleepy during the day.

  I feel weary/exhausted during the day.

  I have concerns about my sleep.

  I snore.

  I quit breathing while sleeping

  I wake up choking, gasping or coughing.

  I am overweight.

  I kick in my sleep.

  My legs feel like they're "crawling" or can't be still.

  I lie in the bed and worry.

  I cannot go to sleep at night.

  I cannot stay asleep at night.

  I get weak when experiencing strong emotions.

  I am depressed.

  I drink caffeine (coffee/tea/cola) after lunch.

  I drink alcohol after 6:00pm.

  I am a shift worker.

  I walk in my sleep.

  I wake up panicked and/or anxious.

  I have seizures.

  Disturbing dreams wake me up at night.

  I worry about the quality of my sleep.