Search
Close this search box.
Assessments

Sleep-Related Impairment – Child

This measure is intended for children/adolescents ages 8 to 17 years old. Please respond to each item by selecting an option from each dropdown menu.

In the past 7 days...

1. 
I was sleepy during the daytime.

2. 
I had a hard time concentrating because I was sleepy.

3. 
I had a hard time getting things done because I was sleepy.

4. 
I had problems during the day because of poor sleep.

5. 
I had trouble staying awake during the day.

6. 
It was hard to have fun because I was sleepy.

7. 
I could not keep my eyes open during the day.

8. 
I was in a bad mood because I was sleepy.

If you would like a copy of your answers and results emailed to you, please provide your email address here:

Success Stories

Get Anxiety Fighting Tips
to your Inbox!