Sleep /Insomnia Personal Evaluation


On this page you can find

Welcome to the Sleep/Insomnia Personal Evaluation Program
What the sleep questionnaire covers
Online Forms Version (for Interpreted Report)
Information behind the Sleep Questionnaire
Text Version (Interpreted Report not available)
Payment methods


Welcome to the Sleep/Insomnia Personal Evaluation Program

Your sleep problem is unique. It requires more than a few simple questions to determine the full picture of the situation. This is an opportunity for you to fully explore the aspects of your sleep and discover new ideas for help.

People often mention lack of sleep or daytime sleepiness as one of their problems. Sometimes lack of sleep is a symptom of something else such as a physical problem or a psychological difficulty, sometimes lack of sleep is the cause of other problems. It is important to know which is which.

Impaired sleep is "a silent epidemic" in an age when we work more and sleep less. Daytime drowsiness, weariness, irritability, depression, trouble concentrating, are just some of the effects. Stress is the primary culprit, sleep disorders is another.

Because there are many aspects of a sleep problem it takes a tremendous amount of time to investigate all the details. Most health-care professionals simply don't have the time to ask about all the aspects. This is why the Sleep/Insomnia Questionnaire was developed.

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The Sleep/Insomnia Questionnaire reviews and consolidates the following aspects of your unique sleep situation:

  • Evaluation of sleep impairment
  • Brief screen for sleep disorders
  • Sleep Routine details
  • Beliefs and attitudes about sleep
  • History of treatments
  • Review of possible causes
    • Biological/energetic
    • Medical
    • Drugs
    • Social
    • Sleep hygiene
    • Environmental
    • Stress, depression, anxiety & other psychological

       

There isn't enough time in an ordinary appointment with a health professional to cover all the aspects included in this questionnaire.

Talking about a sleep problem is a sensitive area because you are vulnerable when asleep and sleep habits are so private. This questionnaire was developed by a mental health counselor with expertise in talking to people about tender issues. It will add comprehensiveness with compassion to the investigation of your sleep problem.

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Sleep/Insomnia Questionnaire

Online Forms Version of Sleep Questionnaire

Several hundred people have spent hours of their time filling out the Forms Version of the Sleep Questionnaire. There are 202 questions that are used to create the following report.

Interpreted Report

Prepared by a counselor trained in sleep/insomnia problems. This report is a throrough review of your answers, opinions of indications, suggestions of options, and questions that appear to be important to getting closer to a good solution to the problem. This report costs $60.

 

Sleep Questionnaire Deactivated until Further Notice

 

More Details about the Sleep Questionnaire

 

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Text Version

The questionnaire is available as text. You can save it to your own disk and then fill out on your own time. You can then share your responses with your health care-provider. While they aren't organized into categories, your answers can still help to point out the way to a customized method of treatment.

An interpreted report is not available of the information from this version.

 

Text Version of Sleep Questionnaire.

 

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Payment Methods

 

The Interpreted Report costs $60. The report is usually mailed within two days of receipt of payment.

Credit Card

This is the fastest way to get your report. Your payment usually is processed within a day or two and we can then start preparing your report. To make a secure online payment by Credit Card please Click here.

If your browser does not support secure documents, and you still want to make an online payment, Click here.

We cannot accept phone credit card payments at this time.

Your report will be sent upon successful completion of the online payment. Please be sure to include your ID code, email address and mailing address or the report cannot be completed and mailed.

Personal Check

To make a payment by Check (in US funds) for report(s) send your check payable to Iris Publishing and mail to

Sleep/Insomnia Program, Iris Publishing, PO Box 1092, Coupeville WA 98239-1092.

Your report will be sent upon receipt of your check. If there are any problems with your mailing address or your email address, your check will not be cashed.

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Back to: Sleep

Back to: Iris Publishing

Sleep/Insomnia Program
Sarah Richards, MS
Counselor & Writer

This site is created by and belongs to: Iris Publishing
email: Webmaster@Iris-Publishing.com
Regular Mail: P.O. Box 1092, Coupeville, WA 98239
Phone: (360) 678-6409


Copyright 1996-1998 Sarah Richards