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Are you insomniac?

Question 1

How would you describe your difficulty falling asleep?

uncheck

Question 2

How would you describe your difficulty staying awake?

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Question 3

Do you wake up too early? If so, what discomfort does this represent in your life?

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Question 4

Are you satisfied with the quality of your sleep right now?

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Question 5

How much do you think your sleep problems are perceptible to others because they affect your quality of life?

uncheck

Question 6

Do your sleep disorders cause you anxiety or distress?

uncheck

Question 7

How much do your sleep problems interfere with your daily activities right now?

uncheck



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