Researchers at FusionHealth have developed an easy to use questionnaire called the FSQ-10, which identifies individuals at risk for common sleep disorders.

Disclaimer: The information provided herein is presented as an educational service only. It is not a substitute for a physical examination by a physician. Even if the evaluation of your questionnaire may indicate the possibility of a sleep disorder, it does not constitute a diagnosis and should not be used in place of consulting a physician.

FSQ-10 Sleep Evaluation	Never	Sometimes
Do you snore or stop breathing during sleep?
Is your sleep unrefreshing?
If inactive during the day, is there a chance you could fall asleep?
Do you have an urge to move your legs before falling asleep?
Are you restless or do you kick / move your legs after falling asleep?
Does it take you longer than 30 minutes to fall asleep?
Do you sleep less than 7 hours per night?
Have you been told of any behaviors during sleep, such as walking, hitting, screaming, acting out dreams or kicking?
Do you have high blood pressure or diabetes?	Yes	No
Do you feel that you are overweight?	Yes	No