Load unfinished survey Resume later default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. 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 qualityIn case of any query for this study please do not hesitate to contact us at email:-------------------- (This question is mandatory) Age in Years 23-30 31-40 41-50 51-60 (This question is mandatory) What is your gender? Male Female (This question is mandatory) Your nationality? Saudi Non Saudi (This question is mandatory) What is your marital status? Single Married Widowed Divorced (This question is mandatory) Height in cm You can use following converter to calculate your height in cm http://www.calculatorsoup.com/calculators/conversions/heightftcm.php Only numbers may be entered in this field. (This question is mandatory) Weight in kg Only numbers may be entered in this field. Your BMI is NAN NAN (This question is mandatory) Hospital where you currently work: Governmental Private Both (This question is mandatory) Years of working experience: 0-4 years 5-9 years 10-14 years >15 years (This question is mandatory) Your Qualification MBBS MBBS+Residency MBBS+Fellowship Other: (This question is mandatory) Designation in current job: Please choose... Intern Resident Registrar/Senior Registrar Specialist Consultant Other: Other: Specialty: Workload Only numbers may be entered in these fields. Working hours per week Number of night duties per month (Please enter only numbers) (This question is mandatory) Are you smoker? Yes No If Smoker, How many Cigarette per day? Income/Month: Choose one of the following answers Less than 10000 SAR 10000-15000 SAR 15000-20000 SAR 20000-25000 SAR More than 25000 SAR (This question is mandatory) Your sleep timings are: Regular Not Regular (This question is mandatory) Do you nap during the day, usually? Choose one of the following answers Yes No (This question is mandatory) How satisfied are you in your current job? Choose one of the following answers Very dissatisfied Dissatisfied Neither Satisfied Very satisfied (This question is mandatory) Any medical illness? Yes No If there is any medical illness please specify (This question is mandatory) During the past month, at what time have you usually gone to bed at night? Please choose... 7:00 PM 8:00 PM 9:00 PM 10:00 PM 11:00 PM 12:00 AM 1:00 AM 2:00 AM 3:00 AM (This question is mandatory) During the past month, how long (in minutes) does it usually take you to fall asleep each night? (This question is mandatory) During the past month, what time have you usually gotten up in the morning? 10:00 PM is 22:00 Please choose... 4:00 AM 5:00 AM 6:00 AM 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM (This question is mandatory) 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.) (This question is mandatory) 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 (This question is mandatory) 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 (This question is mandatory) 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 (This question is mandatory) 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 (This question is mandatory) How would you rate your sleep quality during the past month? Very good Fairly good Fairly bad Very bad 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 Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×
