7320 216th St. SW, Suite 30
Edmonds, WA 98026

(425) 673-3773


A good nights sleep is important to your well-being. Since most people spend roughly one-third of their lives asleep, it's easy to see how the quality of sleep directly affects the quality of your life. One out of three Americans has a sleep disorder which makes sleeping or waking hours miserable. Many of these people suffer needlessly because they are unaware that a problem exists. Once detected, most sleep disorders can be corrected. This simple quiz is designed to alert you to any problems resulting from poor-quality sleep. If you have experienced any of the following symptoms in the last year, check the box beside the number.


Section One:

1. I have difficulty falling asleep.
2. Thoughts race through my mind and this prevents me from sleeping.
3. I feel afraid to go to sleep.
4. I wake up during the night and can't go back to sleep.
5. I worry about things and have trouble relaxing.
6. I wake up earlier in the morning than I would like to.
7. I lie awake for half an hour or more before I fall asleep.
8. I feel sad and depressed.

Section Two:

9. I've been told that I snore.
10. I've been told that I stop breathing while I sleep, although I don't remember this when I wake up.
11. I have high blood pressure.
12. My friends and family say they have noticed changes in my personality.
13. I am gaining weight.
14. I sweat excessively during the night.
15. I have noticed my heart pounding or beating irregularly during the night.
16. I get morning headaches.
17. I have trouble sleeping when I have a cold.
18. I suddenly wake up gasping for breath during the night.
19. I am overweight.
20. I seem to be losing my sex drive.
21. I feel sleepy during the day even though I slept through the night.

Section Three:

22. I have had trouble concentrating in school.
23. When I am angry or surprised, I feel like I'm going limp.
24. I have fallen asleep while driving.
25. I feel like I go around in a daze.
26. I have experienced vivid dream-like scenes upon falling asleep or
awakening.
27. I have fallen asleep during physical effort.
28. I feel like I am hallucinating when I fall asleep.
29. I like I have to cram a full day into every hour to get everything done.
30. I have fallen asleep when laughing or crying.
31. I have trouble at work because of sleepiness.
32. I have vivid nightmares soon after falling asleep.
33. I fall asleep during the day.
34. No matter how hard I try to stay awake, I fall asleep anyway.
35. I feel unable to move when I am waking up or falling asleep.

Section Four:

37. I have a chronic cough.
38. I have to use antacids (Rolaids, Tums, Alka-Seltzer, etc.) almost every week for stomach trouble.
39. I have morning hoarseness.
40. I wake up at night coughing or wheezing.
41. I have frequent sore throats.
42. During the night, I suddenly wake up gasping for breath.

Section Five:

43. Other than when exercising, I still experience muscle tension in my legs.
44. I have noticed (or others have commented) that parts of my body jerk.
45. I have been told that I kick at night.
46. I experience aching or "crawling" sensations in my legs.
47. I experience leg pain during the night.
48. Sometimes I can't keep my legs still at night. I just have to move them.
49. I awaken with sore or achy muscles.
50. Even though I slept through the night, I still feel sleepy during the day.

Score Yourself:

Questions 1 through 8

If you marked three or more boxes, you show symptoms of INSOMNIA, a persistent inability to fall asleep or stay asleep.

Questions 9 through 21

If you marked three or more boxes, you show symptoms of SLEEP APNEA, a life-threatening disorder which causes you to stop breathing repeatedly-often several hundred times per night during your sleep.

Questions 22 through 35

If you marked three or more boxes, you show symptoms of NARCOLEPSY, a lifelong disorder characterized by uncontrollable sleep attacks during the day.

Questions 36 through 42

If you marked three or more boxes, you show symptoms of GASTROESOPHAGEAL REFLUX, a disorder caused when acid from the stomach "backs up" into the esophagus during the night.

Questions 43 through 50

If you marked three or more boxes, you show symptoms of NOCTURNAL MYOCLONUS or RESTLESS LEG SYNDROME, a disorder characterized by pain or "crawling" sensations in the legs.