Sleeping Patterns/Insomnia (Adults) Welcome to your Sleeping Patterns/Insomnia (Adults) Your Email Your Name I have trouble falling asleep at bedtime Almost Never Sometimes Often Very Often None When I can’t sleep, I worry that I won’t be able to fall asleep Almost Never Sometimes Often Very Often None When I wake during the night, I have trouble going back to sleep Almost Never Sometimes Often Very Often None Some nights I hardly sleep at all, no matter how hard I try Almost Never Sometimes Often Very Often None When I try to go to sleep, my mind becomes pre-occupied by many new thoughts Almost Never Sometimes Often Very Often None Trying to fall asleep makes me anxious Almost Never Sometimes Often Very Often None Pain often wakes me during the night, or prevents me from going back to sleep Almost Never Sometimes Often Very Often None I believe that the quality of my sleep is poor Almost Never Sometimes Often Very Often None I feel sleepy during the day as result of my poor sleeping patterns Almost Never Sometimes Often Very Often None I feel desperate, distressed or deeply disillusioned about my poor sleeping habits Almost Never Sometimes Often Very Often None I become very sleepy during the day Almost Never Sometimes Often Very Often None I have sometimes fallen asleep at inappropriate times during the day, such as whilst driving or during a conversation or at work Almost Never Sometimes Often Very Often None Time's up
