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Home › Diagnosing Anxiety & Other Mental Health Conditions › Sleep-Related Impairment – Adult

Sleep-Related Impairment – Adult

This measure is intended for adults ages 18 and up. Please respond to each item by selecting an option from each dropdown menu.

In the past 7 days...

If you would like a copy of your answers and results emailed to you, please provide your email address here:
1. I had a hard time getting things done because I was sleepy.
2. I felt alert when I woke up.
3. I felt tired.
4. I had problems during the day because of poor sleep.
5. I had a hard time concentrating because of poor sleep.
6. I felt irritable because of poor sleep.
7. I was sleepy during the daytime.
8. I had trouble staying awake during the day.
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Light On Anxiety Treatment Centers

Lakeview
(312) 508-3645
1438 West Belmont Ave.
Chicago, IL 60657

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(312) 584-2144
311 W Superior St., Suite 402
Chicago, IL 60654

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(847) 241-1195
1160 Park Avenue W., Suite 6E
Highland Park, IL 60035

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(847) 610-6763
3330 Old Glenview Rd., Suite 14
Wilmette, IL 60091

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