Sleep Self-Assessment

This 3-minute self-assessment prepares you for the type of questions your doctor may ask you about your sleep. When you are done, print your results and discuss them with your doctor. 

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By clicking “I Agree” below, you acknowledge that this is not a diagnostic instrument and is only to be used by you if you are 18 years or older. You agree that this application is for information purposes only and is not intended to replace a consultation with your doctor or a mental health professional.
I Agree
What approaches and strategies do you use to help you sleep at night? Select all that apply.
How well have your current approaches and strategies helped you sleep better?
How do sleep issues affect your nights?
Select all that apply.
How long have you been struggling with sleep issues?
How many nights per week do sleep issues affect you?
How often do you have trouble doing your job due to tiredness and fatigue?
How often do you have trouble going about your normal routine due to tiredness or fatigue?
How often do you have trouble paying attention, focusing, or remembering things due to tiredness or fatigue?
How often do you feel irritable or emotional due to tiredness or fatigue?
How often are you too tired or fatigued to spend time with family or friends?
How often do you take over-the-counter sleep aids or prescription sleep medicine, but it makes you groggy the next day?
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Your Results
Sleep issues impact you in at least a few ways. As you know, there are many negative daily symptoms and long-term health risks associated with sleep issues.

Download your results and make a dedicated appointment to discuss your sleep with your doctor. Your results come with a Doctor Discussion Guide to help remind you of what you have learned regarding sleep issues on SleepDebt.ca.
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