Search results with tag "Sleep questionnaire"
Insomnia Sleep Questionnaire Packet - Stanford Health Care
stanfordhealthcare.orgInsomnia Sleep Questionnaire Packet (Please fill this out and bring to your insomnia consultation appointment) ISI For each question, please indicate the number that best describes your answer. Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s). 1.
Berlin Questionnaire Sleep Apnea
www.sleepapnea.orgHow often do you feel tired or fatigued after your sleep? a. Almost every day b. 3-4 times per week c. 1-2 times per week d. 1-2 times per month e. Rarely or never. 2. You snoring is: a. Slightly louder than breathing b. As loud as talking
Sleep Questionnaire
www.drtmjsleepapnea.comThis questionnaire was designed to provide important facts regarding the history of your sleep condition. To assist in determining the source of any ... Berlin Questionnaire Sleep Evaluation 1. Complete the following: height weight age male/female 2. Do you snore? yes no ... obstructive sleep apnea The evaluation showed an RDI of and an AHI of
Sleep Questionnaire - Stanford Health Care
stanfordhealthcare.orgSleep environment habitS Typical sleep position(s) q back q side q stomach q head elevated q in a chair q I sleep alone. q I share a bed with someone. My bedroom is q comfortable q noisy q too warm q too cold q es Y q No I have pets in the bedroom. q es Y q No I …