Take the Sleep Test For Children
Complete this questionnaire to find out how well your child sleep.
This test may help you recognize and detect symptoms of sleep disorders. The test is intended as a general source of education information and does not contain medical advice. It should not be used for diagnosis or treatment. Getting an evaluation at a fully accredited sleep disorder center is the best way to determine if your child has a sleep/wake disorder.
To take this sleep test, write down the number of each statement that is true for your child. If the statement does not apply or is false, simply go on to the next statement. To score the test, follow the directions at the bottom of this page.
1. I have heard my child snore.
2. My child is a mouth breather.
3. While asleep, my child holds his breath.
4. My child has high blood pressure.
5. My child gets morning headaches.
6. My child is overweight.
7. I have problems in the morning waking up my child.
8. My child often feels sleepy and struggles to remain alert during the day.
9. My child has problems falling asleep.
10. My child has problems concentrating at home or school.
11. Sleep talking.
12. My child gets night terrors or nightmares at night.
13. Getting out of bed while asleep.
14. I have noticed that my child kicks and jerks during sleep.
15. My child anticipates a problem with sleep
16. My child often wakes up and has problems going back to sleep.
17. My child has difficulty falling asleep.
18. My child feels sad and depressed because he/she can't sleep.
19. My child often falls asleep at school.
20. My child is always tired.
21. He/she gets "sleep attacks" to the point where I can't wake him up.
22. My child has experienced vivid dreamlike scenes upon falling asleep or awakening.
23. My child wakes up coughing or wheezing.
24. Frequent sore throats.
25. Heartburns at night.
26. During the night he/she suddenly wake up feeling choking.
27. My child gets leg pain or cramps at night.
28. My child can't keep his legs still at night.
29. Even though he/she slept during the night, my child wakes up feeling sleepy and tired during the day.
30. Bed-wetting after age of 5.
31. My child grinds his/her teeth.
How to score your child sleep.
Questions 1-10
If you answer YES to three or more questions, your child has symptoms of
SLEEP APNEA- a potentially serious disorder that causes
your child to stop breathing repeatedly often hundreds of time in the night
during his/her sleep. The symptoms are the same as ADD or ADHD.
Questions 11-14
If you answer YES to three questions or more, your child has symptoms of
REM Behavior Disorder (this stands for rapid eye movement;
also known as "dreaming" sleep).
Questions 15-18
If you answer YES to three questions or more, your child has symptoms of
INSOMNIA-(a persistent inability to fall asleep or stay
asleep.)
Questions 19-22
If you answer YES to three questions or more, your child has symptoms of
NARCOLEPSY- (a lifelong disorder characterized by sleep
attacks during the day.)
Questions 23-26
If you answer YES to two questions or more, your child has symptoms of GASTROESOPHAGEAL
REFLUX-(a disorder caused by acid "backing up" into the
esophagus during sleep.)
Questions 27-29
If you answer YES to one question or more, your child has symptoms of PERIODIC
LIMB MOVEMENT DISORDER -(uncontrollable leg or arm jerks during
sleep,) or RESTLESS LEGS SYNDROME-(uncomfortable feeling
in the legs at night.)
Question 30-31
OTHER SLEEP DISORDER
Please call us at 1-361-852-1008 or Toll Free at 1-877-527-5337 if you need any further information.
Remember…your body will not change overnight but every change you make can improve your health!
Contact Information
The Driscoll Children’s Hospital Diabetes Team:
Jennifer Amaral
Endocrinology and DiabetesStephen W. Ponder, M.D. C.D.E.
Endocrinology and DiabetesSusan Sullivan, RN, CDE
Phyllis Secraw, RN, DE
Melissa Claire, RN, DE
Meaghan Wickersham, RDChildren's Diabetes and Endocrine Center
4th Floor in the Joseph M. Sloan Building
3533 S. Alameda St.
Corpus Christi, TX 78411
Clinic appointments: (361) 694-4986
Business Office: (361) 694-4864
Office Fax: (361) 694-4832
Statement of Compliance
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Corpus Christi, Texas
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