Thomasville Medical Center 
Sleep Disorders Self Quiz
| This simple test can help you determine if you are having any problems. Keep track of the question numbers if you experience the symptom described on a regular basis. |
| Sleep Disorders Self Quiz | |
| 1 | Do you snore loudly? |
| 2 | Do you stop breathing or gasp for breath while you sleep? |
| 3 | Do you have high blood pressure? |
| 4 | Are you gaining weight? |
| 5 | Do you sweat excessively during the night? |
| 6 | Do you experience your heart pounding or beating irregularly during the night? |
| 7 | Do you get headaches in the morning? |
| 8 | Do you fall asleep during the day, even when you've had a good night's sleep? |
| 9 | Do you go limp when you experience strong emotions, such as anger, fear, or surprise? |
| 10 | Do you fall asleep while driving, even after a good night's sleep? |
| 11 | Do you experience vivid dream-like scenes upon or soon after falling asleep? |
| 12 | Do you have trouble at work or school because of sleepiness? |
| 13 | Do you sometimesfeel totally paralyzed (unable to move) for brief periods of time when falling asleep or just after awakening? |
| 14 | Do you experience log tension, aching, or crawling sensations in your legs, other than when exercising? |
| 15 | Are you ever told that you kick at night? |
| 16 | Do you experience leg pain during the day while trying to relax? |
| 17 | Do you ever feel that you can't keep your legs still at night, or that you have to move them? |
| 18 | Do thoughts race through your mind and prevent you from sleeping? |
| 19 | Do you wake up during the night and then can't get back to sleep? |
| 20 | Do you wake up earlier in the morning than you want to? |
| 21 | Do you lie awake for half an hour or more before you fall asleep? |
| 22 | Do you feel sad, depressed and afraid to go to sleep? |
Answering yes to questions 1-8 could mean you are suffering from sleep apnea. Questions 9-13 are symptoms of narcolepsy, 14-17 relates to the sleep disorders known as periodic leg movement syndrome and restless leg syndrome. Questions 18-22 could mean you suffer from insommnia.
