Question

Name

qi_21_b

Label

21 b

Question Text

What sort of trouble do you have?

Instructions

[put a circle round the number opposite anything that is right for you]

Type
Text
Maximum Length
255

Usage

30 questions before...

Do you have trouble with your sleep?

1
yes
0
no

What sort of trouble do you have?

[put a circle round the number opposite anything that is right for you]

1
I have difficulty in getting off to sleep
2
I wake up in the night and can't get off to sleep again quickly
3
I have unpleasant dreams or nightmares
4
I wake up too early in the morning and stay awake
5
I sleep all night but I still feel tired in the morning
*
Any other sort of trouble? Say what sort
Other
Now here are some questions about the way you behave, and feel, and act. After each question there is a 'yes', a '?', and a 'no'. Try and decide whether 'yes' or 'no' is how you usually feel and then circle the 'yes' or the 'no' If you find it quite impossible to decide, then circle the '?' However don't use the question-mark unless you feel you have to Work quickly and don't spend too much time on any question, we want your first reaction.
-

1 - YES

2 - ?

3 - NO

Are you happiest when you get involved in some project that calls for rapid action?
Do you sometimes feel happy, sometimes depressed, without any apparent reason?
Does your mind often wander while you are trying to concentrate?
Do you usually take the initiative in making new friends?
Are you inclined to be quick and sure in your actions?
Are you frequently 'lost in thought' even when supposed to be taking part in a conversation?
Are you sometimes bubbling over with energy and sometimes very sluggish?
Would you rate yourself as a lively individual?
Would you be very unhappy if you were prevented from making numerous social contacts?
Are you inclined to be moody?
Do you have frequent ups and downs in mood, either with or without apparent cause?
Do you prefer action to planning for action?
4 questions after...
View the complete questionnaire