Sleep-Related Behavior Questionnaire, SRBQ Test - the question form

Questions: 32 · 6 minutes
1. I spend time thinking about how I could improve my sleep.
1 - Almost never
2 - Rarely
3 - Sometimes
4 - Often
5 - Almost always
2. I try to minimize communication and participation in social situations.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
3. I try to stop all thoughts when I am trying to fall asleep.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
4. I do something physically active before going to bed in order to feel tired.
Almost never
Rarely
Sometimes
Often
Almost always
5. I skip or cancel scheduled appointments (during the day or in the evening).
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
6. During the day, I try to put all thoughts about sleep out of my mind.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
7. I lower my expectations about what I will accomplish at work or school today.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
8. I think about being able to catch up on sleep later.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
9. I take it easy at work to conserve energy.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
10. While lying in bed, I try to push all worrying thoughts and images out of my mind.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
11. I avoid talking about my sleep.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
12. When I wake up, I look at the clock to calculate how many hours I slept.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
13. I plan to go to bed earlier.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
14. I stop trying to work or study.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
15. I take one or more sleeping pills.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
16. I catch up on lost sleep by taking a nap.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
17. I use earplugs to block out sounds that might wake me up or keep me from falling asleep.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
18. While lying in bed, I worry about the consequences of not getting enough sleep.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
19. I take on fewer social commitments.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
20. I put off tasks until tomorrow.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
21. I avoid difficult conversations.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
22. During the day, I conserve energy in any way I can.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
23. I avoid sleeping away from home.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
24. I look at the clock to see how long I have been trying to fall asleep.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
25. I am less active during the day.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
26. I try to keep myself occupied to stop thinking about sleep.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
27. I limit my activities to routine daily tasks during the day/evening.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
28. I worry about other things (e.g., work) to distract myself from worries about sleep.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
29. I take herbal remedies to help me sleep.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
30. While in bed, I try to push away thoughts about any problems.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
31. I follow a daily routine so I do not have to think too much.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
32. I go to bed early so that I have plenty of time to fall asleep.
1 – Almost never
2 – Rarely
3 – Sometimes
4 – Often
5 – Almost always
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