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PGA Parent Sleep/Wake Scale

Think about your child's sleep during the past two weeks and select the one answer for each statement that tells how true the statement is for your child.
Going to bed
Space Cell AlwaysFrequently – if not alwaysQuite oftenSometimesOnce in a whileNever
1. When it’s time to go to bed, your child makes repeated requests (for example: asks for another drink, hug, story).
2. When it’s time to go to bed, your child wants to stay up and do other things (for example: read, play, or watch TV).
3. Your child is ready to go to bed at bedtime.
4. Your child complains about going to bed.
5. Your child “puts off” or delays going to bed.
Falling asleep
Space Cell AlwaysFrequently – if not alwaysQuite oftenSometimesOnce in a whileNever
6. When it’s time to go to sleep (lights-out), your child is quiet and calm.
7. When it’s time to go to sleep (lights-out), your child has trouble settling down.
8. Your child has trouble going to sleep.
9. Your child needs help getting to sleep.
10. Your child falls asleep quickly after “lights-out”.
Arousing and awakening during the night
Space Cell AlwaysFrequently – if not alwaysQuite oftenSometimesOnce in a whileNever
11. During the night, your child tosses and turns in the bed.
12. During the night, your child is very restless.
13. During the night, your child moans, groans, or talks in their sleep.
14. During the night, your child arouses, but doesn’t fully awaken.
15. During the night, your child awakens more than once.
16. Your child sleeps soundly through the night.
Returning to sleep
Space Cell AlwaysFrequently – if not alwaysQuite oftenSometimesOnce in a whileNever
17. After arousing or awakening, your child comes out of the bedroom.
18. After arousing or awakening, your child awakens other family members.
19. After arousing or awakening, your child calls out for the caretaker.
20. After arousing or awakening, your child goes into someone else’s bed.
21. After arousing or awakening, your child rolls over and goes back to sleep.
Waking in the morning
Space Cell AlwaysFrequently – if not alwaysQuite oftenSometimesOnce in a whileNever
22. In the morning, your child wakes up without any help.
23. In the morning, your child wakes up and is ready to get up for the day.
24. In the morning, your child wakes up rested and alert.
25. Your child is slow-to-start in the morning.
26. Your child is difficult to get out of the bed in the morning.