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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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During the past month, how long (in minutes) does it usually take you to fall asleep each night?

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	Not during the past month	Less than once a week	Once or twice a week	Three or more times a week
Wake up in the middle of the night or early morning	Not during the past month	Less than once a week	Once or twice a week	Three or more times a week
Have to get up to use the bathroom	Not during the past month	Less than once a week	Once or twice a week	Three or more times a week
Cannot breathe comfortably	Not during the past month	Less than once a week	Once or twice a week	Three or more times a week
Cough or snore loudly	Not during the past month	Less than once a week	Once or twice a week	Three or more times a week
Feel too cold	Not during the past month	Less than once a week	Once or twice a week	Three or more times a week
Feel too hot	Not during the past month	Less than once a week	Once or twice a week	Three or more times a week
Have bad dreams	Not during the past month	Less than once a week	Once or twice a week	Three or more times a week
Have pain	Not during the past month	Less than once a week	Once or twice a week	Three or more times a week

Other reason(s), please describe

How often you have had trouble sleeping because of above mentioned reason?

Choose one of the following answers

Not during the past month

Less than once a week

Once or twice a week

Three or more times a week

During the past month, how often have you taken medicine to help you sleep ("prescribed" or “over the counter”)?

Not during the past month

Less than once a week

Once or twice a week

Three or more times a week

During the past month, how often have you had trouble staying awake while driving, eating meals, working, studying or engaging in social activity?

Not during the past month

Less than once a week

Once or twice a week

Three or more times a week

During the past month, how much of a problem has it been for you to keep up enough energy to get things done?

No Problem at all

Only a very slight Problem

Somewhat of a problem

A very big problem

How would you rate your sleep quality during the past month?

Very good

Fairly good

Fairly bad

Very bad

NAN

SLEEP EFFICIENCY =

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

SLEEP LATENCY=

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

SLEEP DISTURBANCE=

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

DAY DYSFUNCTION DUE TO SLEEPINESS=

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

Pittsburgh Sleep Quality Index (PSQI)=

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

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.

Your BMI is NAN