PSQI #1 (bedtime/past month)

During the past month, what time have you usually gone to bed at night?

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PSQI #2 (minutes to fall asleep/past month)

During the past month, how long (in minutes) has it usually taken you to fall asleep each night?

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PSQI #3 (getting up time/past month)

During the past month, what time have you usually gotten up in the morning?

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4. During the past month, how many hours of actual sleep did you get at night?

During the past month, how many hours of actual sleep did you get at night? (This may be different than the number of hours you spent in bed.)

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PSQI #5 (trouble sleeping: a) cannot get to sleep within 30 minutes)

During the past month, how often have you had trouble sleeping because you ... a) cannot get to sleep within 30 minutes

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PSQI #6 (trouble sleeping: b) wake up in the middle of the night or early morning

During the past month, how often have you had trouble sleeping because you ... b) wake up in the middle of the night or early morning

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PSQI #7 (trouble sleeping: c) have to get up to use the bathroom)

During the past month, how often have you had trouble sleeping because you ... c) have to get up to use the bathroom

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PSQI #8 (trouble sleeping: d) cannot breathe comfortably)

During the past month, how often have you had trouble sleeping because you ... d) cannot breathe comfortably

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PSQI #9 (trouble sleeping: e) cough or snore loudly)

During the past month, how often have you had trouble sleeping because you ... e) cough or snore loudly

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PSQI #10 (trouble sleeping: f) feel too cold)

During the past month, how often have you had trouble sleeping because you ... f) feel too cold

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PSQI #11 (trouble sleeping: g) feel too hot)

During the past month, how often have you had trouble sleeping because you ... g) feel too hot

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PSQI #12 (trouble sleeping: h) bad dreams)

During the past month, how often have you had trouble sleeping because you ... h) had bad dreams

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PSQI #13 (trouble sleeping: i) have pain)

During the past month, how often have you had trouble sleeping because you ... i) have pain

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PSQI #14 (trouble sleeping: j) other reasons)

During the past month, how often have you had trouble sleeping because you ... j) other reasons

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PSQI #15 (overall sleep quality/past month)

During the past month, how would you rate your sleep quality overall?

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PSQI #16 (taken medicine to help you sleep/past month)

During the past month, how often have you taken medicine to help you sleep (prescribed or "over the counter")?

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PSQI #17 (trouble staying awake/past month)

During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity?

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PSQI #18 (problem to keep up enough enthusiasm to get things done/past month)

During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done?

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PSQI #19 (bed partner)

Do you have a bed partner or room mate?

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PSQI #20 (bed partner: a) loud snoring)

If you have a room mate or bed partner, ask him/her how often in the past month you have had ... a) loud snoring

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PSQI #21 (bed partner: b) long pauses between breaths while asleep)

If you have a room mate or bed partner, ask him/her how often in the past month you have had ... b) long pauses between breaths while asleep

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PSQI #22 (bed partner: c) legs twitching or jerking while you sleep)

If you have a room mate or bed partner, ask him/her how often in the past month you have had ... c) legs twitching or jerking while you sleep

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PSQI #23 (bed partner: d) episodes of disorientation or confusion during sleep)

If you have a room mate or bed partner, ask him/her how often in the past month you have had ... d) episodes of disorientation or confusion during sleep

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PSQI component 1 Subjective sleep quality

PSQI component 1 Subjective sleep quality

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PSQI component 2 Sleep latency

PSQI component 2 Sleep latency

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PSQI component 3 Sleep duration

PSQI component 3 Sleep duration

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PSQI component 4 Sleep efficiency

PSQI component 4 Sleep efficiency

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PSQI component 5 Sleep disturbance

PSQI component 5 Sleep disturbance

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PSQI component 6 Use of sleep medication

PSQI component 6 Use of sleep medication

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PSQI component 7 Daytime dysfunction

PSQI component 7 Daytime dysfunction

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PSQI global score

PSQI global score

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PSQI sleep quality

PSQI sleep quality

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PSQI version

PSQI version

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