Sleep

Question:

1. In the last 30 days, how much difficulty do you think [name of person/you] had with sleeping, such as falling asleep, waking up frequently during the night or waking up too early in the morning?
2. In the last 30 days, how much of a problem did you havedue to not feeling rested and refreshed during the day?

Response categories:

1. None
2. Mild
3. Moderate
4. Severe
5. Extreme/Cannot Do

Vignettes:

1. [Mark] falls asleep every night within five minutes of going to bed. He sleeps soundly during the whole night and wakes up in the morning feeling well-rested.***
   
2. [Audrey] usually falls asleep easily and sleeps for 8 hours through the night. She wakes up feeling refreshed.
   
3. [Manuel] falls asleep without difficulty at night but on weekdays he wakes up around an hour before his alarm goes off because he feels anxious about what he needs to do that day.
   
4. [Jonathan] has no problems falling asleep on most nights, but once a week, he stays up for three to four hours after going to bed. Once he is asleep, he sleeps through the night and wakes up at his usual time.
   
5. [Tania] falls asleep every night within 15 minutes, but she wakes up every morning at 4am even though she plans to sleep until 7am.
   
6. [Amalia] has no difficulty falling asleep but wakes up two or three times a night and takes 30 minutes each time to fall back asleep.
   
7. [Paolo] has no trouble falling asleep at night and does not wake up during the night, but every morning he finds it difficult to wake up. He uses an alarm clock but falls back asleep after the alarm goes off. He is late to work on four out of five days.***
   
8. [Noemi] falls asleep easily at night, but two nights a week she wakes up in the middle of the night and cannot go back to sleep for the rest of the night.***
   
9. [Natalia] has trouble falling asleep three nights every week. On each occasion, she lies in bed for two hours trying to go to sleep. When she does go to sleep, however, she sleeps through the whole night.
   
10. [Tamara] has a cold that gives makes her cough continuously for 5 minutes once or twice a night. The cough wakes her up each time, and she stays awake for half an hour.
    
11. [Sandra] is a light sleeper who has awakened by noises from the street outside her apartment. She wakes 10 or more times a night but falls back asleep right away each time.
    
12. [Andrea] has nightmares every night. She wakes up in the middle of the night feeling panicked, and she takes two hours to fall back asleep each time.
    
13. [Damien] wakes up almost once every hour during the night. When she wakes up in the night, it takes around 15 minutes for her to go back to sleep. In the morning she does not feel well-rested.***
    
14. [Jane] is unable to sleep at night and spends the time watching television or reading magazines. She tends to fall asleep around 6am and wakes up around four hours later.
    
15. [Daniel] takes about two hours every night to fall asleep. He wakes up once or twice a night feeling panicked and takes more than one hour to fall asleep again. Three to four nights a week he wakes up in the middle of the night and cannot go back to sleep for the rest of the night.***

*** Included in the final World Health Survey instrument in 2002.