The Pittsburgh Sleep Quality Index.

For each of the remaining questions, check the one best response. Please answer all questions. 5. During the past month, how often have you had trouble sleeping because you . . . a) Cannot get to sleep within 30 minutes __Not during in the past month __ Less than Once a week __Once or twice a week __ Three or more times a week b) Wake up in the middle of the night or early morning __Not during in the past month __ Less than Once a week __Once or twice a week __ Three or more times a week c) Have to get up to use the bathroom __Not during in the past month __ Less than Once a week __Once or twice a week __ Three or more times a week d) Cannot breathe comfortably __Not during in the past month __ Less than Once a week __Once or twice a week __ Three or more times a week f) Feel too cold __Not during in the past month __ Less than Once a week __Once or twice a week __ Three or more times a week g) Feel too hot __Not during in the past month __ Less than Once a week __Once or twice a week __ Three or more times a week h) Had bad dreams __Not during in the past month __ Less than Once a week __Once or twice a week __ Three or more times a week i) Have pain __Not during in the past month __ Less than Once a week __Once or twice a week __ Three or more times a week j) Other reason(s), please describe__________________________________________________________________ ______________________________________________________________________________________________ How often during the past month have you had trouble sleeping because of this? __Not during in the past month __ Less than Once a week __Once or twice a week __ Three or more times a week