Adult – Excessive Daytime Sleepiness

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First Name* This field is required.
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Insomnia
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{firstName}, have you experienced any difficulty falling asleep that lasts for more than 3 months?
YESNO
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On average, do you experience sleeplessness for more than 3 days a week?
YESNO
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Do you feel that your lack of sleep makes you feel more tired or sleepy the next day?
YESNO
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Do you feel that you have lost control of your sleep?
YESNO
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Do you have abnormal thoughts about sleep?
YESNO
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Are you feeling stressed or worried about your sleep?
YESNO
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Does it take you 30 minutes or more to fall asleep?
YESNO
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Do you see yourself using sleeping pills or sleeping aids in order to fall asleep?
YESNO
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Does it take you more than 30 minutes to go back asleep after you wake up in the middle of the night?
YESNO
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Do you feel that your lack of sleep affects your mood or your relations with your loved ones?
YESNO
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Insomnia - Score
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Snoring/Sleep Apnea
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Do you know if you snore or have you been told that you snore?
YESNO
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Do you think your snoring is causing daytime sleepiness and affecting daytime activities, such as driving, working and socializing?
YESNO
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Have you ever been diagnosed with sleep apnea?
YESNO
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Does your partner avoid sharing a bed with you due to your snoring?
YESNO
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Has anyone witnessed your breathing stop while sleeping?
YESNO
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Do you wake up excessively during the night to urinate?
YESNO
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Do you have high blood pressure?
YESNO
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Have your loved ones noticed that you have been irritable or grumpy?
YESNO
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Does your sleep position affect your snoring?
YESNO
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Have you fallen asleep while driving?
YESNO
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Do you wake up from sleep with heart palpitations or irregular heartbeats?
YESNO
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Do you wake up in the morning with headaches?
YESNO
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Have your loved ones noticed you suddenly wake up and gasp for air while sleeping?
YESNO
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Do you consider yourself overweight or obese?
YESNO
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Have you noticed a decrease in your sex drive?
YESNO
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Do you experience daytime fatigue and nod off when sitting quietly?
YESNO
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Do you have a sore throat or dry mouth when you wake up?
YESNO
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Snoring/sleep apnea - Score
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Do you get enough sleep?
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Do you get enough sleep for your age group? (18–60 years - 7 or more hours per night, 61–64 years - 7 to 9 hours, 65 years and older - 7 to 8 hours)
YESNO
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Do you wake up tired?
YESNO
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Do you feel grumpy or moody during the day?
YESNO
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Do you feel sleepy during the day?
YESNO
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Do you get enough sleep? - Score
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Narcolepsy/Hypersomnia
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Do you abruptly or uncontrollably fall asleep during inappropriate times, such as public events or social settings?
YESNO
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Do you think your uncontrollable sleepiness is affecting day-to-day activities such as driving, working, and socializing?
YESNO
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Do you frequently lose muscle tone during intense emotions?
YESNO
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Do you experience the feeling that you are in a fog?
YESNO
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Do you experience frequent vivid dreams?
YESNO
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Do you have to take multiple naps during the daytime?
YESNO
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When taking daytime naps, do you find that the naps are refreshing?
YESNO
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Do you easily fall asleep in public social settings, while driving, or during special events?
YESNO
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Do you feel that your sleepiness is often affecting your work?
YESNO
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Do you have unusual sleep attacks during the daytime?
YESNO
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Have you ever been diagnosed with narcolepsy?
YESNO
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Have you ever been diagnosed with hypersomnia?
YESNO
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At times, have you experienced brief loss of your ability to move upon falling asleep?
YESNO
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At times, have you experienced brief loss of your ability to move upon waking up?
YESNO
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Narcolepsy/Hypersomnia Score - Score
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Email Enter your email to receive a Two Week Sleep Diary with automatic sleep efficiency calculations and additional sleep information. This document can help track your sleep, which your doctor can use for diagnosis and treatment.
example@example.com
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Insomnia-Positive Response
1. Can’t stay or fall asleep – insomnia: Based on your answers, you may be experiencing symptoms of Insomnia. 

Insomnia is characterized by difficulty falling, staying asleep, or waking up too early. It occurs for 3 or more nights a week for 3 months or more.

You may experience daytime sleepiness, impaired daytime functioning, such as inability to concentrate, decreased energy or motivation, and increased errors at work or accidents.

Before a diagnosis of insomnia can be made, your doctor must rule out other causes of sleeplessness, like other sleep disorders, physical and psychological disorders, poor sleep hygiene, and sleep-disrupting medications.
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Sleep Apnea-Positive Response
2. Snoring – sleep apnea: Based on your answers, you may be experiencing symptoms of Obstructive Sleep Apnea (OSA). 

OSA is characterized by disrupted sleep due to repeated pauses in breathing throughout the night.

You may experience daytime sleepiness and irritability, frequent headaches, forgetfulness, and poor work performance due to disturbed sleep.

Before a diagnosis of OSA can be made, your doctor must rule out other causes of sleeplessness, like other sleep disorders, physical and psychological disorders, poor sleep hygiene, and sleep-disrupting medications.
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Do you get enough Sleep-Positive Response
3. Do you get enough sleep?: Based on your answers, you may be experiencing symptoms of insufficient sleep syndrome. 

Insufficient sleep syndrome is characterized by chronic sleep deprivation due to insufficient sleep time or poor quality sleep.

You may experience irritability, low energy levels, and difficulty concentrating, leading to reduced work performance and increased risk of accidents.

Before a diagnosis of insufficient sleep syndrome can be made, your doctor must rule out other causes of sleeplessness, like other sleep disorders, physical and psychological disorders, poor sleep hygiene, and sleep-disrupting medications.

This information is for educational purposes only and doesn’t replace the judgment of a sleep medicine professional. We strongly suggest that you seek the advice of a sleep medicine Doctor or professional for an accurate diagnosis of your condition.
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Narcolepsy/hypersomnia-Positive Response
4. Narcolepsy/hypersomnia: Based on your answers, you may be experiencing symptoms of Narcolepsy. 

Narcolepsy is characterized by daytime sleepiness, loss of muscle tone during the day, hallucinations while falling asleep, and sleep paralysis.

You may lose muscle tone when experiencing strong emotions, like laughing or crying, and may fall asleep at inappropriate times throughout the day.

Hypersomnia, also known as Excessive Daytime Sleepiness, is characterized by prolonged nighttime sleep or persistent episodes of excessive daytime sleepiness.

Hypersomnia may cause you to have difficulty waking up from long periods of sleep or may require you to take naps every few hours to function throughout the day.

In order to diagnose narcolepsy/hypersomnia, your doctor may perform a multiple sleep latency test (MSLT).

Before a diagnosis of narcolepsy can be made, your doctor must rule out other causes of sleeplessness, like other sleep disorders, physical and psychological disorders, poor sleep hygiene, and sleep-disrupting medications.
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Insomnia-Negative Response
1. Can’t stay or fall asleep – insomnia: Based on your answers, you are not showing symptoms of Insomnia.
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Sleep Apnea-Negative Response
2. Snoring – sleep apnea: Based on your answers, you are not showing symptoms of Sleep Apnea.
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Do you get enough sleep-Negative Response
3. Do you get enough sleep?: Based on your answers, you are not showing symptoms of insufficient sleep.
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Narcolepsy/hypersomnia-Negative Response
4. Narcolepsy/hypersomnia: Based on your answers, you are not showing symptoms of narcolepsy or hypersomnia.
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Ok
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Insomnia-Results
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Sleep Apnea-Results
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Enough Sleep-Results
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Narcolepsy/hypersomnia-Results
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{firstName}, you have answered questions for various conditions under the area of Excessive Daytime Sleepiness.

The following are the results;

{insomniaresults}

{sleepApnearesults}

{enoughSleepresults}

{narcolepsyhypersomniaresults}

This information is for educational purposes only and doesn’t replace the judgment of a sleep medicine professional. We strongly suggest that you seek the advice of a sleep medicine Doctor or professional for an accurate diagnosis.
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