MidNite Sleep Survey

1. My biggest sleep problem is: Waking in the middle of the night or too early in the morning and not being able to get back to sleep Not being able to fall asleep when I get into bed Both of the above     Next >> 2. I have not taken or have stopped taking prescription sleep aids because: I am afraid they will become habit forming I am afraid of the side effects I am afraid I will not be able to awaken when I need or want to I do not like taking drugs I am afraid I will be groggy or feel drugged in the morning when I wake << Last     Next >> 3. I have not taken or stopped taking over the counter sleep aids because: I am afraid they will be habit forming I am afraid of the side effects I am afraid I won't be able to wake in the morning when I need or want to I don't like taking drugs I am afraid I will feel groggy or drugged in the morning when I wake up << Last     Next >> 4. If you wake in the middle of the night and can't fall back asleep, what do you normally do? Get a snack Use the bathroom Go on my computer Read Have sex Walk around the house Clean the house or do laundry Watch TV Lie in bed and stare at the ceiling or the clock Meditate Worry Count sheep << Last     Next >> 5. What most often wakes you in the night and/or prevents you from getting back to sleep Having to use the bathroom Hunger Stress or worries Partner moving or snoring Child awakening Pain or medical condition My pet Noises in or outside of the house << Last     Next >> 6. When you travel for pleasure or business, how is your sleep experience? Better because I am away from my problems Worse because it is not my own bed or my own home << Last     Next >> 7. Do you suffer from jet lag when you travel? Yes No << Last     Next >> 8. When you travel by airplane, train or bus do you typically sleep Yes, on long and short trips Yes but only when I have more than an hour or two No, I would like to but can't usually fall asleep No, I don't like to sleep when I travel << Last     Next >> 9. As you get older, do you find that you have more or less difficulty sleeping More difficulty Less difficulty << Last     Next >> 10. Have your partner's sleep problems prevented you from getting a good night's sleep? Yes No << Last     Next >> 11. Do you find that you look better after getting a good night's sleep? Yes No << Last     Next >> 12. Do you look forward to going to sleep at the end of the day or dread it? I look forward to going to bed I dread going to bed I feel pretty neutral about going to bed << Last     Current Results