I feel sleepy during the day, even when I get a good night's sleep.

True False

I get very irritable when I can't sleep.

True False

I often wake up at night and have trouble falling back to sleep.

True False

It usually takes me a long time to fall asleep.

True False

I often wake up very early and can't fall back to sleep.

True False

I experience an uncomfortable/restless sensation in my legs at night.

True False

My legs often move or jerk during the night.

True False

I sometimes wake up gasping for breath.

True False