Sleep Test

How well are you sleeping? Take the sleep test!

To take this sleep test, circle the number of each statement that is true for you. If the statement does not apply or is false, simply go on to the next statement. To score the test, follow the directions at the end of the test.

  1. I have been told that I snore.
  2. I have been told that I hold my breath while I sleep.
  3. I have high blood pressure.
  4. My friends and family say that I'm often grumpy and irritable.
  5. I wish I had more energy.
  6. I get morning headaches.
  7. I often wake up gasping for breath.
  8. I am overweight.
  9. I often feel sleepy and struggle to remain alert during the day.
  10. I frequently wake with a dry mouth.

  11. I have difficulty falling asleep.
  12. Thoughts race through my mind and prevent me from getting to sleep.
  13. I anticipate a problem with sleep several times a week.
  14. I often wake up and have trouble getting back to sleep.
  15. I worry about things and have trouble relaxing.
  16. I wake up earlier in the morning than I would like to.
  17. I lie awake for a half and hour or more before I fall asleep.
  18. I often feel sad or depressed because I can't sleep.

  19. I have trouble concentrating at work or school.
  20. When I am angry or surprised, I feel like my muscles are going limp.
  21. I have fallen asleep while driving.
  22. I often feel like I am in a daze.
  23. I have experienced vivid dreamlike scenes upon falling asleep or awakening.
  24. I have fallen asleep in social settings such as movies or at a party.
  25. I have vivid dreams soon after falling asleep or during naps.
  26. I have "sleep attacks" during the day no matter how hard I try to stay awake.
  27. I have episodes of feeling paralyzed during my sleep.

  28. I wake up at night with an acid/sour taste in my mouth.
  29. I wake up at night coughing or wheezing.
  30. I have frequent sore throats.
  31. I have heartburn at night.
  32. During the night I suddenly wake up feeling like I am choking.

  33. I have noticed (or others have commented) that parts of my body jerk during sleep.
  34. I have been told that I kick or jerk during sleep.
  35. When trying to go to sleep, I experience an aching or crawling sensation in my legs.
  36. I experience leg pains or cramps at night.
  37. Sometimes I can't keep my legs still at night, I just have to move them to feel comfortable.
  38. Even though I slept during the night, I feel sleepy during the day.

How to score your sleep:


Questions 1-10: If you answered YES to three or more questions, you have symptoms of sleep apnea, a potentially serious disorder which causes you to stop breathing repeatedly, often hundreds of times during your sleep.

Questions 11-18: If you answered YES to three or more questions, you have symptoms of insomnia, a persistent inability to fall asleep or stay asleep.

Questions 19-27: If you answered YES to three or more questions, you have symptoms of narcolepsy, a lifelong disorder characterized by sleep attacks during the day.

Questions 28-32: If you answered YES to three or more questions, you have symptoms of gastroesophageal reflux, a disorder caused by acid "backing up" into the esophagus during sleep.

Questions 33-38: If you answered YES to three or more questions, you have symptoms of periodic limb movement disorder, uncontrollable leg or arm jerks during sleep, or restless legs syndrome, characterized by uncomfortable feelings in the legs at night.

Problems of sleep apnea, insomnia, narcolepsy, gastroesophageal reflux, periodic limb movement disorder and restless legs syndrome should not be ignored. Call the UAP Center for Better Sleep (812) 242-3100, for an evaluation.

Notice of Non-Discrimination