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Sleep Heart Health Study

Name Label Folder
sh317
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) diagnosed sleep disorder
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) diagnosed sleep disorder

17. Have you ever been told by a doctor that you have a sleep disorder (other than sleep apnea)?

Questionnaires/SHHS2/Sleep Habits
smokstat_s2
Smoking Status at Sleep Heart Health Study Visit Two (SHHS2)
Smoking Status at Sleep Heart Health Study Visit Two (SHHS2)

Current Smoking Status at the Sleep Heart Health Study Visit Two (SHHS2)

Questionnaires/SHHS2/Sleep Habits
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Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Date completed
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Date completed

Date of Sleep Habits form

Questionnaires/SHHS2/Sleep Habits
lengpmnap
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Total nap time
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Total nap time Questionnaires/SHHS2/Sleep Habits
sh304
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): number of naps per week
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): number of naps per week

4. During a usual week, how many times do you nap for 5 minutes or more?

Questionnaires/SHHS2/Sleep Habits
sh304a
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Number of 5+ minute naps during week
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Number of 5+ minute naps during week

a. Number of times during a usual week that you nap for 5 minutes or more:

Questionnaires/SHHS2/Sleep Habits
sh305
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Regular nap every afternoon
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Regular nap every afternoon

5. Do you try to "make time" in your schedule for a regular nap or "siesta" in the afternoon? (check one)

Questionnaires/SHHS2/Sleep Habits
sh307a
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Nap due to not enough sleep at night
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Nap due to not enough sleep at night

7. What are your reasons for regular napping in the afternoon? (check all that apply) a. I do not get enough sleep at night.

Questionnaires/SHHS2/Sleep Habits
sh307b
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Nap due to illness or medical reason
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Nap due to illness or medical reason

7. What are your reasons for regular napping in the afternoon? (check all that apply) b. I nap due to an illness or for medical reasons.

Questionnaires/SHHS2/Sleep Habits
sh307c
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Nap to feel refreshed
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Nap to feel refreshed

7. What are your reasons for regular napping in the afternoon? (check all that apply) c. I nap because it makes me feel refreshed in general.

Questionnaires/SHHS2/Sleep Habits
sh307d
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Other reason for nap
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Other reason for nap

7. What are your reasons for regular napping in the afternoon? (check all that apply) d. Other (please explain).

Questionnaires/SHHS2/Sleep Habits
sh308a
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of trouble falling asleep
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of trouble falling asleep

8. Please indicate how often you experience each of the following. (check one box for each in items a through j) a. Have trouble falling asleep.

Questionnaires/SHHS2/Sleep Habits
sh308b
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of waking up and having difficulty resuming sleep
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of waking up and having difficulty resuming sleep

8. Please indicate how often you experience each of the following. (check one box for each in items a through j) b. Wake up during the night and have difficulty getting back to sleep.

Questionnaires/SHHS2/Sleep Habits
sh308c
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of waking up too early and unable to resume sleep
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of waking up too early and unable to resume sleep

8. Please indicate how often you experience each of the following. (check one box for each in items a through j) c. Wake up too early in the morning and be unable to get back to sleep.

Questionnaires/SHHS2/Sleep Habits
sh308d
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of feeling unrested
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of feeling unrested

8. Please indicate how often you experience each of the following. (check one box for each in items a through j) d. Feel unrested during the day, no matter how many hours of sleep you had.

Questionnaires/SHHS2/Sleep Habits
sh308e
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of excessive daytime sleepiness
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of excessive daytime sleepiness

8. Please indicate how often you experience each of the following. (check one box for each in items a through j) e. Feel excessively (overly) sleepy during the day.

Questionnaires/SHHS2/Sleep Habits
sh308f
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of not getting enough sleep
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of not getting enough sleep

8. Please indicate how often you experience each of the following. (check one box for each in items a through j) f. Do not get enough sleep.

Questionnaires/SHHS2/Sleep Habits
sh308g
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of taking sleeping pills
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of taking sleeping pills

8. Please indicate how often you experience each of the following. (check one box for each in items a through j) g. Take sleeping pills or other medication to help you sleep.

Questionnaires/SHHS2/Sleep Habits
sh308h
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of nasal stuffiness at night
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of nasal stuffiness at night

8. Please indicate how often you experience each of the following. (check one box for each in items a through j) h. Nasal stuffiness, obstruction or discharge at night.

Questionnaires/SHHS2/Sleep Habits
sh308i
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of Leg jerks
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of Leg jerks

8. Please indicate how often you experience each of the following. (check one box for each in items a through j) i. Leg jerks.

Questionnaires/SHHS2/Sleep Habits
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Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of Leg cramps
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of Leg cramps

8. Please indicate how often you experience each of the following. (check one box for each in items a through j) j. Leg cramps.

Questionnaires/SHHS2/Sleep Habits
sh309
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Ever snored
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Ever snored

Questions 9 through 15 are about snoring and breathing during sleep. To answer these questions, please consider both what others have told you AND what you know about yourself. 9. Have you ever snored (now or at any time in the past)?

Questionnaires/SHHS2/Sleep Habits
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Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of snoring
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of snoring

Questions 9 through 15 are about snoring and breathing during sleep. To answer these questions, please consider both what others have told you AND what you know about yourself. 10. How often do you snore now? (check one)

Questionnaires/SHHS2/Sleep Habits
sh311
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Loudness of snoring
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Loudness of snoring

Questions 9 through 15 are about snoring and breathing during sleep. To answer these questions, please consider both what others have told you AND what you know about yourself. 11. How loud is your snoring? (check one)

Questionnaires/SHHS2/Sleep Habits
sh312
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Changes in snoring
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Changes in snoring

Questions 9 through 15 are about snoring and breathing during sleep. To answer these questions, please consider both what others have told you AND what you know about yourself. 12. Has your snoring been: (check one)

Questionnaires/SHHS2/Sleep Habits
sh313
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Surgery for snoring
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Surgery for snoring

To answer these questions, please consider both what others have told you AND what you know about yourself. 13. Have you ever had somnoplasty, laser treatment, or surgery as treatment for your snoring?

Questionnaires/SHHS2/Sleep Habits
sh314
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Stop breathing during sleep
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Stop breathing during sleep

Questions 9 through 15 are about snoring and breathing during sleep. To answer these questions, please consider both what others have told you AND what you know about yourself. 14. Are there times when you stop breathing during your sleep?ng

Questionnaires/SHHS2/Sleep Habits
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Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of stopping breathing during sleep
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of stopping breathing during sleep

To answer these questions, please consider both what others have told you AND what you know about yourself. 15. How often do you have times when you stop breathing during your sleep?

Questionnaires/SHHS2/Sleep Habits
sh316
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of being household members in or near sleeping area
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Frequency of being household members in or near sleeping area

16. During the past year, how often have one or more members of your household been in or near the room where you have slept?

Questionnaires/SHHS2/Sleep Habits
sh318a
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) Diagnosed Insomnia
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) Diagnosed Insomnia

Have you ever been told by a doctor that you have a sleep disorder (other than sleep apnea)? 18. What other sleep disorder? (check all that apply) a. Insomnia

Questionnaires/SHHS2/Sleep Habits
sh318b
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) Diagnosed Restless legs
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) Diagnosed Restless legs

Have you ever been told by a doctor that you have a sleep disorder (other than sleep apnea)? 18. What other sleep disorder? (check all that apply) b. Restless legs

Questionnaires/SHHS2/Sleep Habits
sh318c
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) Diagnosed Narcolepsy
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) Diagnosed Narcolepsy

Have you ever been told by a doctor that you have a sleep disorder (other than sleep apnea)? 18. What other sleep disorder? (check all that apply) c. Narcolepsy

Questionnaires/SHHS2/Sleep Habits
sh318d
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) Diagnosed Other sleep disorder
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Doctor of Medicine (MD) Diagnosed Other sleep disorder

Have you ever been told by a doctor that you have a sleep disorder (other than sleep apnea)? 18. What other sleep disorder? (check all that apply) d. Other: please specify

Questionnaires/SHHS2/Sleep Habits
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Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Smoke 20 packs of cigarettes in life
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Smoke 20 packs of cigarettes in life

20. Have you smoked as many as 20 packs of cigarettes in your whole lifetime?

Questionnaires/SHHS2/Sleep Habits
sh321
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Number of years since started smoking
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Number of years since started smoking

21. How many years ago did you START smoking?

Questionnaires/SHHS2/Sleep Habits
sh322
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Did not smoke for a year while smoker
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Did not smoke for a year while smoker

22. Since you began smoking, was there ever a period of one year or more that you did NOT smoke?

Questionnaires/SHHS2/Sleep Habits
sh322a
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Number of years did not smoke
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Number of years did not smoke

22a. If "Yes" how many years did you NOT Smoke?

Questionnaires/SHHS2/Sleep Habits
sh323
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Current smoker
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Current smoker

23. Are you currently still smoking?

Questionnaires/SHHS2/Sleep Habits
sh323a
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Years since stopped smoking
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Years since stopped smoking

23a. If "No" how many years ago did you STOP smoking?

Questionnaires/SHHS2/Sleep Habits
sh324
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Average number of cigarettes/day
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Average number of cigarettes/day

24. On average, during the entire time you smoked, how many cigarettes did you usually smoke per day?

Questionnaires/SHHS2/Sleep Habits
sh325
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Cups of coffee per day
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Cups of coffee per day

25. On a typical day, how many cups of regular coffee (with caffeine) do you drink?

Questionnaires/SHHS2/Sleep Habits
sh326
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Cups of tea per day
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Cups of tea per day

26. How many cups of regular tea (with caffeine) do you drink on a typical day?

Questionnaires/SHHS2/Sleep Habits
sh327a
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Glasses of cola per day
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Glasses of cola per day

27. How many glasses or cans of cola or other soda with caffeine do you drink on a typical day? _________ glasses

Questionnaires/SHHS2/Sleep Habits
sh327b
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Cans of cola per day
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Cans of cola per day

27. How many glasses or cans of cola or other soda with caffeine do you drink on a typical day? _________ cans

Questionnaires/SHHS2/Sleep Habits
sh328
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Glasses of wine per week
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Glasses of wine per week

28. How many glasses (4 oz.) of wine do you usually have per week?

Questionnaires/SHHS2/Sleep Habits
sh329
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Can/bottles of beer per week
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Can/bottles of beer per week

29. How many bottles or cans of beer (12 oz.) do you usually have per week?

Questionnaires/SHHS2/Sleep Habits
sh330
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Drinks of hard liquor per week
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): Drinks of hard liquor per week

30. How many drinks with hard liquor (1 shot) do you usually have per week?

Questionnaires/SHHS2/Sleep Habits
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Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): time to fall asleep
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): time to fall asleep Questionnaires/SHHS2/Sleep Habits
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Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): sleep time on weekdays
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): sleep time on weekdays Questionnaires/SHHS2/Sleep Habits
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Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): sleep time on weekends
Sleep Habits (Sleep Heart Health Study Visit Two (SHHS2)): sleep time on weekends Questionnaires/SHHS2/Sleep Habits