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Sleep extra

This questionnaire is an addition to the sleep questionnaire already existing and it will examine breathing and other circumstances which could affect sleeping.

While sleeping does your child have ‘heavy’ or loud breathing?

While sleeping does your child have trouble breathing, or struggle to breath?

Have you ever seen your child stop breathing during the night?

During the day does your child have ‘heavy’ or loud breathing?

During the day does your child have trouble breathing, or struggle to breath?

During the day does your child experience shortness of breath? Like if they had to run for a bus.

Does your child sleep with an unusual position?

If yes, describe the position:

Have there ever been investigation for airway obstruction affecting sleep?

If yes, has any treatment taken place?

Does your child use any medication which could cause sleep problems as a side effect?

Where does your child live?

Does your child have its own bedroom?

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Sleep extra

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