DO YOU HAVE
A SLEEP PROBLEM?

Read the statements below. Answer True or False for each one.

1. I feel sleepy during the day, even when I get a good night's sleep.
TRUE FALSE
2. I get very irritable when I can't sleep
TRUE FALSE
3. I often wake up at night and have trouble falling back to sleep.
TRUE FALSE
4. It usually takes me a long time to fall asleep.
TRUE FALSE
5. I often wake up very early and can't fall back to sleep.
TRUE FALSE
6. I usually feel achy and stiff when I wake up in the morning.
TRUE FALSE
7. I often seem to wake up because of dreams.
TRUE FALSE
8. I sometimes wake up gasping for breath.
TRUE FALSE
9. My bed partner says my snoring keeps her/him from sleeping.
TRUE FALSE
10. I've fallen asleep driving.
TRUE FALSE

If you answered True more than twice, you may want to discuss your
sleep problem with your healthcare professional.
If you think you have a sleep disorder and want to participate in a study
call the Sleep Disorders Center at (386) 917-7600 or (386) 917-7601.