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PGA Child Sleep/Wake Scale

Think about your sleep during the past two weeks and select the one answer for each statement that tells how true the statement is for you.
Going to bed
Space Cell AlwaysFrequently – if not alwaysQuite oftenSometimesOnce in a whileNever
1. When it’s time to go to bed, I want to stay up and do other things (for example: watch TV, play video games, read, talk on the phone).
2. I have trouble making myself go to bed at bedtime.
3. I am ready to go to bed at bedtime.
4. I enjoy bedtime.
5. I try to “put off ” or delay 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), I have trouble settling down.
7. When it’s time to go to sleep (lights-out), I feel sleepy.
8. When it’s time to go to sleep (lights-out), I lie down but then get up and come out of the bedroom.
9. I have trouble going to sleep.
10. I need help getting to sleep (for example: I need to listen to music, watch TV, or have someone else in the bed with me).
11. I fall asleep quickly.
Maintaining sleep
Space Cell AlwaysFrequently – if not alwaysQuite oftenSometimesOnce in a whileNever
12. During the night, I toss and turn in my bed.
13. During the night, I am very restless.
14. During the night, I moan, groan, or talk in my sleep.
15. During the night, my legs kick or jerk.
16. During the night, I wake up more than once.
17. I sleep soundly through the night.
Going back to sleep
Space Cell AlwaysFrequently – if not alwaysQuite oftenSometimesOnce in a whileNever
18. After waking up during the night, I have trouble going back to sleep.
19. After waking up during the night, I have trouble getting comfortable.
20. After waking up during the night, I wake up another family member.
21. After waking up during the night, I need help to go back to sleep (for example: I need to watch TV, read, or sleep with another person).
22. After waking up during the night, I feel scared.
23. After waking up during the night, I roll over and go right back to sleep.
Returning to being awake
Space Cell AlwaysFrequently – if not alwaysQuite oftenSometimesOnce in a whileNever
24. In the morning, I wake up and feel ready to get up for the day.
25. In the morning, I wake up feeling rested and alert.
26. In the morning, I wake up and just can’t get going.
27. I need help waking up in the morning (for example: from an alarm clock or another person).
28. I have trouble getting out of the bed in the morning.