Does your child have any problems going to bed?*

Does your child have any problems falling asleep?*

Does your child seem overtired or sleepy a lot during the day?*

Does he/she still take naps?*

Does your child wake up a lot at night?*

Does your child have a regular bedtime and wake time?*

What time is bed time?*

What time is wake time?*

Does your child snore a lot or have difficulty breathing at night?*

Parent: Does your child have any problems at bedtime?*

Child: Do you have any problems going to bed?*

Parent: Does your child have difficulty waking in the morning, seem sleepy during the day or take naps?*

Child: Do you feel sleep a lot?*

Parent: Does your child seem to wake up a lot at night?*

Parent: Any sleepwalking or nightmares?*

Child: Do you have trouble getting back to sleep?*

Parent: What time does your child go to bed and get up on school days?*

Parent: Weekends?*

Parent: Do you think he/she is getting enough sleep?*

Does your child have loud or nightly snoring or any breathing difficulties at night?*

Child: Do you have any problems falling asleep at bedtime?*

Child: Do you feel sleepy a lot during the day?*

Child: Do you feel sleep while in school?*

Child: Do you feel sleepy while driving?*

Child: Do you wake up a lot at night?*

Child: Do you have trouble getting back to sleep?*

Child: What time do you go to bed and get up on school days?*

Child: Weekends?*

Child: How much sleep do you usually get?*

Parent: Does your teenager snore loudly or nightly?*