CDEs
Forms
Difficulty anxiety PhenX
Do you do any of the following during the night when you cannot fall asleep, do you: Look at the clock frequently to see how long you have not been able to fall asleep?
Unusual bed difficult PhenX
Events or conditions occurring at the same time as difficulty with insomnia [PhenX]
Does your difficulty with insomnia occur at the same time as any of these events or conditions [PhenX]
Other drugs or medications occurring with insomnia [PhenX]
Changing schedule occurring with insomnia [PhenX]
Noisy or uncomfortable surroundings occurring with insomnia
Stress or major life event occurring with insomnia
Other disturbances occurring with insomnia
Emotional condition with insomnia PhenX
Other med condition with insomnia PhenX
Do you ever have trouble falling asleep or staying asleep, when there seems to be no cause or explanation for it [PhenX]
Has your difficulty with sleeping occurred or worsened during any of the following conditions...pregnancy?
Has your difficulty with sleeping occurred or worsened during any of the following conditions ...menopause? (ask for women over 35)
Before menstruation diff sleep PhenX
During menstruation diff sleep PhenX
# times sleep difficulty PhenX
Age first sleep difficulty PhenX
Age last sleep difficulty PhenX
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