Name | Label | Folder | |
---|---|---|---|
ccpainaffectssleephp
Pain Affects Sleep from Physician's History and Physical Form (0=No, 1=Yes)
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Pain Affects Sleep from Physician's History and Physical Form (0=No, 1=Yes) | Sleep Questionnaires/Sleep Disturbance | |
chestpaintightnessshq16b
SHQ Q16b: How Often Awakened by Chest Pain/Tightness (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q16b: How Often Awakened by Chest Pain/Tightness (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
coughingwheezingshq16a
SHQ Q16a: How Often Awakened by Coughing/Wheezing (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q16a: How Often Awakened by Coughing/Wheezing (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
difffallbacktosleepatnightshq7b
SHQ Q7b: Wake up During Night with Difficulty Falling Back to Sleep (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q7b: Wake up During Night with Difficulty Falling Back to Sleep (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
difffallbacktosleepinmorningshq
SHQ Q7c: Wake up Early in AM with Difficulty Falling Back to Sleep (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q7c: Wake up Early in AM with Difficulty Falling Back to Sleep (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
difficultrisinghp
Refreshed in AM from Physician's History and Physical Form (0=No, 1=Yes)
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Refreshed in AM from Physician's History and Physical Form (0=No, 1=Yes) | Sleep Questionnaires/Sleep Disturbance | |
heartburnindigestionshq16g
SHQ Q16g: How Often Awakened by Heartburn/Indegestion (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q16g: How Often Awakened by Heartburn/Indegestion (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
legcrampsjerksshq16h
SHQ Q16h: How Often Awakened by Leg Cramps/Jerks (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q16h: How Often Awakened by Leg Cramps/Jerks (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
needtogotobathroomshq16i
SHQ Q16i: How Often Awakened by Need to Go To Bathroom (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q16i: How Often Awakened by Need to Go To Bathroom (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
noisesurroundings16e
SHQ Q16e: How Often Awakened by Noise in Surroundings (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q16e: How Often Awakened by Noise in Surroundings (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
notenoughsleepshq7g
SHQ Q7g: Do Not Get Enough Sleep (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q7g: Do Not Get Enough Sleep (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
numawaktotalhp
Total Weekly Number of Awakenings/Night from Physician's History and Physical Form
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Total Weekly Number of Awakenings/Night from Physician's History and Physical Form | Sleep Questionnaires/Sleep Disturbance | |
numawakwdhp
Weekday Number of Awakenings/Night from Physician's History and Physical Form
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Weekday Number of Awakenings/Night from Physician's History and Physical Form | Sleep Questionnaires/Sleep Disturbance | |
numawakwehp
Weekend Number of Awakenings/Night from Physician's History and Physical Form
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Weekend Number of Awakenings/Night from Physician's History and Physical Form | Sleep Questionnaires/Sleep Disturbance | |
painjointsmusclesbackshq16f
SHQ Q16f: How Often Awakened by Pain in Joints/Muscles/Back (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q16f: How Often Awakened by Pain in Joints/Muscles/Back (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
shortnessofbreathshq16c
SHQ Q16c: How Often Awakened by Shortness of Breath (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q16c: How Often Awakened by Shortness of Breath (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
sweatshotflashesshq16d
SHQ Q16d: How Often Awakened by Sweats/Hot Flashes (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q16d: How Often Awakened by Sweats/Hot Flashes (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
troublefallingasleepshq7a
SHQ Q7a: Trouble Falling Asleep (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q7a: Trouble Falling Asleep (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
unrestedduringdayshq7e
SHQ Q7e: Feel Unrested During Day (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q7e: Feel Unrested During Day (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance | |
worryaboutsleepshq7d
SHQ Q7d: Worry About Sleep/Problems Sleeping (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month])
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SHQ Q7d: Worry About Sleep/Problems Sleeping (0=Never, 1=Rarely [1/month or less], 2=Sometimes [2-4/month], 3=Often [5-15/month], 4=Almost Always [16-30/month]) | Sleep Questionnaires/Sleep Disturbance |