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Sleep Quality among Physicians in Jeddah Saudi Arabia

Instructions: The following questions relate to your usual sleep habits during the past month only. Your answers should indicate the most accurate reply for the majority of days and nights in the past month.

Kindly answer all the questions.

In the end, you will get a detailed analysis of your sleep quality

In case of any query for this study please do not hesitate to contact us at email:
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Age in Years
What is your gender?
Your nationality?
What is your marital status?
Height in cm

You can use following converter to calculate your height in cm

http://www.calculatorsoup.com/calculators/conversions/heightftcm.php

Weight in kg

Your BMI is  NAN

 

NAN

Hospital where you currently work: 

Years of working experience:      

Your Qualification

Designation in current job:

Specialty:

Workload
Are you smoker?
If Smoker, How many Cigarette per day?

Income/Month:

Your sleep timings are:  
Do you nap during the day, usually?

How satisfied are you in your current job?

Any medical illness?
If there is any medical illness please specify
During the past month, at what time have you usually gone to bed at night?
During the past month, how long (in minutes) does it usually take you to fall asleep each night?
During the past month, what time have you usually gotten up in the morning?
10:00 PM is 22:00
During the past month, how many hours of actual sleep did you get at night? (This may be different than the number of hours you spent in bed.)
During the past month, how often have you had trouble sleeping, because you…
Not during the past month Less than once a week Once or twice a week Three or more times a week
Cannot get to sleep within 30 minutes
Wake up in the middle of the night or early morning
Have to get up to use the bathroom
Cannot breathe comfortably
Cough or snore loudly
Feel too cold
Feel too hot
Have bad dreams
Have pain

Other reason(s), please describe

How often you have had trouble sleeping because of above mentioned reason?
 
During the past month, how often have you taken medicine to help you sleep ("prescribed" or “over the counter”)?
During the past month, how often have you had trouble staying awake while driving, eating meals, working, studying or engaging in social activity?
During the past month, how much of a problem has it been for you to keep up enough energy to get things done?
How would you rate your sleep quality during the past month?
0
0
NAN
NAN

SLEEP EFFICIENCY =

0

Minimum Score = 0 (better); Maximum Score = 3 (worse) 

0

 3

 3

SLEEP LATENCY=

0

Minimum Score = 0 (better); Maximum Score = 3 (worse) 

0
0
0

SLEEP DISTURBANCE=

0

Minimum Score = 0 (better); Maximum Score = 3 (worse) 

0

DAY DYSFUNCTION DUE TO SLEEPINESS=

0

Minimum Score = 0 (better); Maximum Score = 3 (worse) 

0

Pittsburgh Sleep Quality Index (PSQI)=

0

Minimum Score = 0 (better); Maximum Score = 21 (worse)
Interpretation:   TOTAL < 5 associated with good sleep quality 
     TOTAL > 5 associated with poor sleep quality 

0