Sleep Quiz

Please circle the “YES” answers to each question. When completed, click here for answers.

1. I have been told that I frequently stop breathing during sleep.
2. I snore so loud that people can hear me from other parts of the house.
3. I have high blood pressure.
4. I have awakened with my heart pounding or having skipped a beat during the night.
5. I feel sleepy during the day, even if I sleep well at night.
6. My problems with sleepiness and fatigue have gotten worse in the last several years.
7. I often awaken with a dry mouth.
8. I frequently awaken with headaches.
9. I have almost fallen asleep while driving or at work.
10. No matter how hard I try to stay awake, I still fall asleep anyway.
11. I see vivid dreamlike images when waking up or falling asleep.
12. I have suddenly felt very weak or go limp, when angered, surprised, sad, or scared.
13. I have awakened to find that for several minutes I could not move, yet was wide awake.
14. My problem with sleepiness began when I was a teenager or young adult.
15. I often take longer than 30 minutes to fall asleep.
16. I wake up earlier in the morning than I would like.
17. Thoughts often race through my mind and prevent me from falling asleep.
18. I often feel sad and depressed.
19. I can’t fall asleep during the week, but sleep well on weekends & on vacation.
20. I wake during the night, but can’t fall back asleep.
21. I have been told that my arms or legs jerk or kick while I am asleep.
22. I experience “creepy crawly” sensations in my legs when lying in bed.
23. I find it extremely difficult to keep my legs or feet still when sitting or lying quietly.
24. I am often awakened by leg discomfort, and have to get out of bed and walk for relief.
25. I am bothered by recurring frightening or bad dreams.
26. I frequently sleep-walk, or behave unusually during my sleep.
27. I am afraid that I might injure myself or others because of sudden awakenings or abnormal behavior while asleep.
28. I grind my teeth during the night.
29. I often awaken with heartburn or a sore throat.
30. I frequently awaken from sleep coughing or wheezing.

Jupiter Medical Center Sleep Center
“15 years of helping the community get better Z’s”
1025 Military Trail, Jupiter FL 33458
(561) 744-4478 • Email sleep@mail.jupitermed.com