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Thomas Reich, M.D., Otolaryngology - ENT more

Sleep Center

The Delta’s First Certified Sleep Facility

Everyone has his or her own unique way of sleeping. The truth is some of the nighttime habits you consider harmless may actually be signs of an underlying sleep disorder. One out of every three Americans experiences some kind of sleep problem. Symptoms can include everything from snoring, waking too early or abnormal breathing while asleep, to having muscle weakness or exhaustion during the day.

To help you determine if you could have a serious sleep problem, we have developed the following sleep test. If your answers show that you could be suffering from one or more of the most common sleep disorders, do not worry. Now there is help... The Sleep Center, a service of Delta Regional Medical Center.

Put your sleep to the test.

Place a check in the box beside any question if you can answer yes.

Section 1
Yes	No	Sometimes I have difficulty falling asleep.
Yes	No	Thoughts race through my mind sometime and this prevents me from sleeping.
Yes	No	I feel afraid to go to sleep.
Yes	No	Sometimes I wake up during the night and can't go back to sleep.
Yes	No	I worry about things more often than I should.
Yes	No	Sometimes I wake up earlier in the morning than I would like to.
Yes	No	I often lie awake for half an hour or more before I fall asleep.
Yes	No	I feel sad and depressed more than I would like to.

Section 2
Yes	No	I've been told that I snore.
Yes	No	I've been told that I stop breathing while I sleep, although I don't remember this when I wake up.
Yes	No	I have high blood pressure.
Yes	No	My friends and family say they have noticed changes in my personality.
Yes	No	I am gaining weight or I am overweight.
Yes	No	I sweat excessively during the night.
Yes	No	I have noticed my heart pounding or beating irregularly during the night.
Yes	No	I get morning headaches.
Yes	No	I have trouble sleeping when I have a cold.
Yes	No	I suddenly wake up gasping for breath during the night.
Yes	No	I fall asleep easily during the day.
Yes	No	I seem to be losing my sex drive.

Section 3
Yes	No	I feel sleepy during the day even though I slept through the night.
Yes	No	When I am angry or surprised, sometimes I feel like I'm going limp.
Yes	No	I have fallen asleep while driving.
Yes	No	Sometime I feel like I go around in a daze.
Yes	No	I have had vivid dream - like scenes upon awakening or falling asleep.
Yes	No	I have fallen asleep during physical effort.
Yes	No	I sometimes feel like I am hallucinating when I fall asleep.
Yes	No	I feel like I have to cram a full day into every hour.
Yes	No	I have fallen asleep while laughing or crying.
Yes	No	I have trouble at work because of sleepiness.
Yes	No	I sometimes have vivid nightmares soon after falling asleep.
Yes	No	I fall asleep during the day.
Yes	No	No matter how hard I try to stay awake, I often fall asleep anyway.
Yes	No	Sometimes I feel unable to move when I am waking up or falling asleep.

Section 4
Yes	No	I feel muscle tension more often than I would like to.
Yes	No	I have noticed (or others have commented) that parts of my body sometimes jerk.
Yes	No	I have been told that I kick at night.
Yes	No	I experience aching or "crawling" sensation in my legs.
Yes	No	I experience leg pain during the night.
Yes	No	Sometimes I can't keep my legs still at night; I just have to move them.
Yes	No	I awaken with sore or achy muscles.

Delta Regional Medical Center

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Sleep Center

Sleep Center

The Delta’s First Certified Sleep Facility

Put your sleep to the test.

Section 1

Section 2

Section 3

Section 4