PSQI Form and Dictionary
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| Variable / Field Name | Field Label | Choices, Calculations, OR Slider Labels |
|---|---|---|
| psqi_visitnum | Visit number: 1 (Initial Visit), 2 and up (Follow up visit) VISITNUM | psqi_date | Form Date: (Y-M-D) | psqi_entry_date | Data Entry Date | psqi_entry_by | Data Entry By | cannot_get_to_sleep_within | cannot get to sleep within 30 minutes | 0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_1b | wake up in the middle of the night or early morning | 0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_1c | have to get up to use the bathroom | 0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_1d | cannot breathe comfortably | 0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_1e | cough or snore loudly | 0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_1f | feel too cold | 0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_1g | feel too hot | 0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_1h | have bad dreams | 0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_1i | have pain | 0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_1j | other reason(s) for poor sleep | 0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_q10 | other reason(s) for poor sleep, please describe here: | psqi_q11 | During the past month, how often have you taken medicine (either prescription or "over the counter") to help you sleep? |
0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_q13 | During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity? |
0, Not during the past month | 1, Once a week | 2, Twice a week | 3, Three times a week or more | psqi_q14 | During the past month, how would you rate your sleep quality overall? |
0, Very Good | 1, Fairly Good | 2, Fairly Bad | 3, Very Bad | psqi_q15 | During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done? |
0, No problem at all | 1, Only a very slight problem | 2, Somewhat of a problem | 3, A very big problem | psqi_q16 | During the past month, what time have you usually gone to bed at night? |
psqi_q17 | During the past month, how long (in minutes) has it usually taken you to fall asleep each night? |
psqi_q18 | During the past month, when have you usually gotten up in the morning? |
psqi_q19 | 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 spend in bed.) |
psqi_q20 | Do you have a bed partner or roommate? |
0, No bed partner or roommate | 1, Partner/roommate in another room | 2, Partner in same room, different bed | 3, Partner in same bed | loud_snoring | loud snoring | 0, not during the past month | 1, once a week | 2, twice a week | 3, three times a week or more | psqi_8b | long pauses between breaths while asleep | 0, not during the past month | 1, once a week | 2, twice a week | 3, three times a week or more | psqi_8c | leg(s) twitching or jerking while you sleep | 0, not during the past month | 1, once a week | 2, twice a week | 3, three times a week or more | psqi_8d | episodes of disorientation or confusion during sleep | 0, not during the past month | 1, once a week | 2, twice a week | 3, three times a week or more | psqi_8e | other reasons for poor sleep | 0, not during the past month | 1, once a week | 2, twice a week | 3, three times a week or more | psqi_q12 | other reason(s) for poor sleep, please describe here: |