Do you have a sleeping disorder? Take the quiz.

Test the Quality of Your Sleep

This test is designed to alert you to problems resulting from a possible sleep disorder. If you show signs of any of the disorders listed, please contact the Diagnostic Center for Sleep Health at 206-709-UZZZ (8999) for information on how to schedule a sleep evaluation. You may also print this form and take it with you to discuss your test results with your physician.

Sleep Quiz

If you have experienced any of the following symptoms, please put a check beside the number:

Sleep Apnea

I have been told I snore.
I have been told that I stop breathing while I sleep.
I have high blood pressure.
I sweat excessively during the night.
I have noticed my heart beating irregularly during the night.
I have trouble sleeping when I have a cold.
I often have morning headaches.
I gasp for breath in my sleep.
I seem to be losing my sex drive.
I have fallen asleep while driving.

If you marked three or more, you show signs of sleep apnea, a life-threatening disorder that may cause you to stop breathing repeatedly during your sleep.

Restless Leg Syndrome

I have been told that I kick at night.
I have noticed or been told that part of my body jerks.
I experience aching or “crawling” sensations in my legs.
Sometimes I can’t keep my legs still at night.
I often experience muscle tension.
I wake up with sore or achy muscles.

If you marked two or more yes, you show signs of nocturnal periodic leg movements or restless leg syndrome, a disorder characterized by pain or “crawling” sensations in the legs.

Insomnia

Sometimes I have difficulty falling asleep.
I feel afraid to go back to sleep.
I can’t relax because I have too many worries.
I have too much on my mind to go to sleep.
It takes me 30 minutes or more to fall asleep.
I often feel sad and depressed.
I wake up earlier in the morning than I want to.

If you marked three or more yes, you show signs of insomnia, a persistent inability to fall asleep or stay asleep.

Narcolepsy

I have experienced vivid dream like scenes upon waking up or falling asleep.
When I become angry or surprised I sometimes feel like I am going limp.
I feel sleepy during the day even though I slept all night.
I feel like I have to accomplish as much as possible in every hour.
Sometimes I feel like I live in a daze.
I take frequent naps.
Sometimes I have vivid nightmares just after falling asleep.
When I try to stay awake, I usually fall asleep anyway.
I sometimes feel like I'm hallucinating when I fall asleep.
I have fallen asleep while laughing or crying.
I have trouble at work or school because of sleepiness.
Sometimes I feel unable to move upon awakening or falling asleep.

If you marked three or more yes, you show signs of narcolepsy, a lifelong disorder characterized by uncontrollable sleep attacks during the day.

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