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Sleep Scale From The Medical Outcomes Study

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Abdullah The
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67 views

Sleep Scale From The Medical Outcomes Study

Uploaded by

Abdullah The
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Sleep Scale from the Medical Outcomes Study

1. How long did it usually take for you to fall asleep during the past 4 weeks?

(Circle One)

0-15 minutes…………..…1

16-30 minutes……………..2

31-45 minutes……………..3

46-60 minutes……………..4

More than 60 minutes …….5

_________________________________________________________

2. On the average, how many hours did you sleep each night during the past 4
weeks?

Write in number
of hours per night:

_________________________________________________________

Copyright, 1986, RAND

Hays, R. D., & Stewart, A. L. (1992). Sleep measures. In A. L. Stewart & J. E. Ware (eds.), Measuring
functioning and well-being: The Medical Outcomes Study approach (pp. 235-259), Durham, NC: Duke
University Press.
How often during the past 4 weeks did you…
(Circle One Number On Each Line)

All of Most A Good Some A Little None


the of the Bit of of the of the of the
Time Time the Time Time Time Time
W W W W W W

3. feel that your sleep was not quiet


(moving restlessly, feeling tense,
speaking, etc., while sleeping)? 1 2 3 4 5 6

4. get enough sleep to feel rested upon


waking in the morning? 1 2 3 4 5 6

5. awaken short of breath or with a


headache? 1 2 3 4 5 6

6. feel drowsy or sleepy during the


1 2 3 4 5 6
day?

7. have trouble falling asleep? 1 2 3 4 5 6

8. awaken during your sleep time and


have trouble falling asleep again? 1 2 3 4 5 6

9. have trouble staying awake during


the day? 1 2 3 4 5 6

10. snore during your sleep? 1 2 3 4 5 6

11. take naps (5 minutes or longer)


during the day? 1 2 3 4 5 6

12. get the amount of sleep you needed? 1 2 3 4 5 6

Copyright, 1986, RAND

Hays, R. D., & Stewart, A. L. (1992). Sleep measures. In A. L. Stewart & J. E. Ware (eds.), Measuring functioning and well-being: The
Medical Outcomes Study approach (pp. 235-259), Durham, NC: Duke University Press.

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