Pittsburg Sleep Quality Index (PSQI)

Introduction

Questionnaire pertaining to sleep with the last month.

• What time have you usually gone to bed during the past month?
• How many minutes has it taken you to fall asleep each night during the past month?
• At what time have you usually gotten up in the morning during the past month?
• How many HOURS of actual sleep do you usually get on a typical night during the past month?
• During the past month, how often have you had trouble sleeping because: *
  • you cannot get to sleep within 30 minutes?
  • you wake up in the middle of the night or early morning?
  • you have to get up to use the bathroom?
  • you cannot breath comfortably?
  • you cough or snore loudly?
  • you feel too cold?
  • you feel too hot?
  • you have bad dreams?
  • you have pain?
  • of other reasons?
    • describe reason(s), including how often you have had trouble sleeping because of reason(s).
• During the past month, how often have you taken medicine (prescribed or 'over the counter') to help you sleep?*
• During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity?*
• During the past month, how much of a problem has it been for you to keep up your enthusiasm to get things done?*
• How would you rate your sleep quality overall? 0 = very good 1 = fairly good 2 = fairly bad 3 = very bad

* 0 = not during the past month 1 = less than once a week 2 = once or twice a week 3 = 3 or more times a week