During the past month, how long has it usually taken you to fall asleep each night? (minutes)
During the past month, what time have you usually gotten up in the morning? (minutes)
During the past month, how many hours of actual sleep did you get at night? (This may be different than the number of hours you spent in bed)(hours)
During the past month, how often have you had trouble sleeping because you:
During the past month, how often have you taken medicine to help you sleep (prescribed or 'over the counter')?
During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity?
During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done?
If you have a room mate or bed partner, ask him/her how often in the past month you have had:
Note. Please finish the questionnaire until you return to the start screen. Only then will the system register your questionnaire as completed. Lastly, what did you think of this questionnaire: 1 = absolutely not 5 = absolutely
NB: Maakt u alstublieft de vragenlijst af totdat u weer bij het beginscherm komt. Pas dan registreert het systeem de vragenlijst als volledig ingevuld. Tot slot. Wat vond u van deze vragenlijst: 1 = beslist niet5 = beslist wel
Life after cancer Please fill in the questionnaire by yourself, in your own pace. You can answer the questions by checking the box/number that applies best to your situation. If you are not sure, please answer the question by choosing the answer that is closest to your situation. There are no...