Questionnaire for sleep.sav {Please note: I have included below selected items from a more extensive questionnaire used in a study on the impact of sleep problems. Two additional scales were included (Epworth Sleepiness Scale, Hospital Anxiety and Depression Scale) however these items are not displayed in the questionnaire for copyright reasons. The total scores however do appear as variables in the datafile.}
primary school secondary school trade training/ post secondary training
undergraduate degree postgraduate degree
general health very poor 1 2 3 4 5 6 7 8 9 10 very good
physical fitness very poor 1 2 3 4 5 6 7 8 9 10 very good
current weight very underweight 1 2 3 4 5 6 7 8 9 10 very overweight
Do you smoke? Yes No : If yes, how many cigarettes do you smoke per day? ___________
How many standard alcoholic drinks do you consume on an average day? ___________
How many drinks containing caffeine (eg. coffee, tea or cola) do you drink per day? _________
General y, how many hours sleep do you get:
On weeknights: _____hours On weekends: _____hours
How many hours sleep do you think you need so that you don’t feel sleepy the next day? __________ hours
Do you have trouble fal ing asleep? Yes No
Do you have trouble staying asleep? Yes No
Are you aware of waking up during the night?
Do you work night shift or rotating shifts?
Would you describe yourself as a ‘light sleeper’ (easily awoken) Yes No
Do you usual y wake up feeling refreshed? On weekdays? Yes No
How satisfied are you with the amount of sleep you get?
very dissatisfied 1 2 3 4 5 6 7 8 9 10 very satisfied
Overal how would you rate the quality of your sleep?
very poor poor fair good very good excel ent
Please rate how stressed you have felt over the last month:
not at al 1 2 3 4 5 6 7 8 9 10 extremely stressed
Do you regularly take any medication to help you sleep?
Do you feel you have a problem of any sort with your sleep?
No Please skip to the next section Yes Please answer the questions below:
To what extent do you feel that the fol owing aspects of your life are affected by your problem with sleep? (please circle a number on each line below) not at al 1 2 3 4 5 6 7 8 9 10 to a great extentnot at al 1 2 3 4 5 6 7 8 9 10 to a great extent not at al 1 2 3 4 5 6 7 8 9 10 to a great extentnot at al 1 2 3 4 5 6 7 8 9 10 to a great extentnot at al 1 2 3 4 5 6 7 8 9 10 to a great extentnot at al 1 2 3 4 5 6 7 8 9 10 to a great extentnot at al 1 2 3 4 5 6 7 8 9 10 to a great extent
Has your partner/ family member ever said you stop breathing at times during your sleep?
Are you a ‘restless sleeper’? Yes No
Have you ever fal en asleep while driving? Yes No
{Note. The items shown below were distributed at different points throughout the original version of the ful questionnaire, but are shown as a block here as they al form part of the Sleepiness and Associated Sensations Scale}
Please rate how fatigued you’ve felt over the past month:
not at al 1 2 3 4 5 6 7 8 9 10 to a great extent
Please rate how lethargic you have felt over the past month:
not at al 1 2 3 4 5 6 7 8 9 10 to a great extent
Please rate how tired you’ve felt over the past month:
not at al 1 2 3 4 5 6 7 8 9 10 to a great extent
Please rate how sleepy you’ve felt over the past month:
not at al 1 2 3 4 5 6 7 8 9 10 to a great extent
Please rate how much you’ve felt lacking in energy over the past month:
not at al 1 2 3 4 5 6 7 8 9 10 to a great extent Codebook for sleep.sav Coding instructions Variable Description of variable
Rate impact of sleep problem on memory impact4
Rate impact of sleep problem on life sat
T h e n e w e n g l a n d j o u r n a l o f m e d i c i n e current concepts Thomas G. Pickering, M.D., D.Phil., Daichi Shimbo, M.D., From the Behavioral Cardiovascular Health and Hypertension Program, Department In the past 30 years, the techniques for measuring blood pressure to determine whether a patient has hypertension have undergone a substantial of Medicine, Columbia Presbyteri
The Journal of Political Philosophy: Volume 10, Number 2, 2002, pp. 153±174THEORIES of deliberative democracy consist of a set of principles thatare intended to establish fair terms of political cooperation in ademocratic society. Some theorists believe that the principles should refer onlyto the process of making political decisions in government or civil society.1The principles of deliberat