Module 8

Module 8 – Sleep

Moico Module 8 Alt

General sleep questions sleep disturbance scale and seven day sleep diary.

8.1 General Sleeping (ANGBEHDEVSLEEPGENERAL)
NoCodeQuestionResponse
8.1.1aANGBEHDEVGOODSLEEP2On a scale of 1-10 how would you rate your child/adult’s sleep 
8.1.2aANGBEHDEVSLEEPNIGHTYEARS2At what age did they first sleep through the night? 
8.1.2bANGSLEEPNIGHTUNKNOWNOr, don’t know 
8.1.4ANGRegularSleepingPatternDoes (or did) your child/ adult have a regular sleeping pattern?1 – Yes, all the time;
2 – Yes, most of the time;
3 – Yes, some of the time;
4 – Yes, rarely;
5 – No, never;
6 – Unknown
8.1.5ANGRegularSleepingPatternOTHPlease describe 
8.1.6ANGBEHDEVTROUBLESLEEPDo they have difficulty going to sleep on his/her own? 1 – Yes, all the time;
2 – Yes, most of the time;
3 – Yes, some of the time;
4 – Yes, rarely;
5 – No, never;
6 – Unknown
8.1.7ANGWAKENIGHTDo they wake during the night?1 – Yes, can settle back to sleep independently;
2 – Yes, requires help to resettle;
3 – Yes, remains awake and unsettled;
4 – No;
5 – Unknown
8.1.8ANGBEHDEVWAKEEARLYDo they wake up early?1 – Yes, all the time;
2 – Yes, most of the time;
3 – Yes, some of the time;
4 – Yes, rarely;
5 – No, never;
6 – Unknown
8.1.9ANGBEHDEVPARENTNEEDEDIs a parent/caregiver needed to be there when they go to sleep?  1 – Yes, all the time;
2 – Yes, most of the time;
3 – Yes, some of the time;
4 – Yes, rarely;
5 – No, never;
6 – Unknown
8.1.10ANGWAKENIGHT2Do they experience nocturnal waking (waking during the night)?1 – Yes, all the time;
2 – Yes, most of the time;
3 – Yes, some of the time;
4 – Yes, rarely;
5 – No, never;
6 – Unknown
8.1.11ANGCOSLEEPDoes the individual require an adult to co sleep to get to sleep?1 – Yes, all the time;
2 – Yes, most of the time;
3 – Yes, some of the time;
4 – Yes, rarely;
5 – No, never;
6 – Unknown
8.1.12ANGMODBEDHave you had a modified or special needs bed for sleeping?1 – Yes, currently have;
2 – Yes, previously had;
3 – No
8.2. Sleep Diary (ANGBEHDEVSLEEPDIARY) Repeated 7 times
No Code Question Response
8.2.1 ANGBEHDEVSLEEPDAY Day of the week 1 – Monday;
2 – Tuesday;
3 – Wednesday;
4 – Thursday;
5 – Friday;
6 – Saturday;
7 – Sunday
8.2.2a ANGBEHDEVBEDTIME2 Time to bed
8.2.2 ANGBEHDEVBEDTIME Time to bed
8.2.3a ANGBEHDEVSLEEPTIME2 Time to sleep
8.2.3 ANGBEHDEVSLEEPTIME Time to sleep
8.2.4 ANGBEHDEVTIMESWOKE Number of times they woke
8.2.5 ANGBEHDEVLONGESTTIME Longest time awake during the night (in minutes) e.g 10 mins
8.2.6a ANGBEHDEVWAKETIME2 Wake up time
8.2.6 ANGBEHDEVWAKETIME Wake up time
8.2.7 ANGBEHDEVNAPNO Daytime naps number
8.2.8 ANGBEHDEVNAPDUR Duration of daytime naps (minutes)
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