Supplementary Table 3.
Instructions: The following questions were designed to investigated your sleep quality during your hospitalization and self-quarantine period. Please answer all questions. 1. During the past month, what time have you usually gone to bed at night? ________________________________________ 2. During the past month, how long (in minutes) has it usually taken you to fall asleep each night? ______________________ 3. During the past month, what time have you usually gotten up in the morning? ____________________________________ 4. During the past month, how many hours of actual sleep did you get at night? (This may be different than the number of hours you spent in bed.) __________________________________________________________________________________________ | ||||
None | Less than once a week | Once or twice a week | Three or more times a week | |
5. During hospitalization/self-quarantine period, how often have you had trouble sleeping because you… | ||||
a. Cannot get to sleep within 30 minutes | ||||
b. Wake up in the middle of the night or early morning | ||||
c. Have to get up to use the bathroom | ||||
d. Cannot breathe comfortably | ||||
e. Cough or snore loudly | ||||
f. Feel too cold | ||||
g. Feel too hot | ||||
h. Have bad dreams | ||||
i. Have pain | ||||
j. Other reason(s), please describe: | ||||
6. During hospitalization/self-quarantine period, how often have you taken medicine to help you sleep (prescribed or “over the counter”)? | ||||
7. During hospitalization/self-quarantine period, how often have you had trouble staying awake while eating meals? | ||||
No problem at all | Only a very slight problem | Somewhat of a problem | A very big problem | |
8. During hospitalization/self-quarantine period, how much of a problem has it been for you to keep up enough enthusiasm to get things done? | ||||
Very good | Fairly good | Fairly bad | Very bad | |
9. During hospitalization/self-quarantine period, how would you rate your sleep quality overall? | ||||
No bed partner or room mate | Partner/room mate in other room | Partner in same room but not same bed | Partner in same bed | |
10. Do you have a bed partner or roommate? | ||||
None | Less than once a week | Once or twice a week | Three or more times a week | |
If you have a roommate or bed partner, ask him/her how often in hospitalization/self-quarantine period, you have had: | ||||
a. Loud snoring | ||||
b. Long pauses between breaths while asleep | ||||
c. Legs twitching or jerking while you sleep | ||||
d. Episodes of disorientation or confusion during sleep | ||||
e. Other restlessness while you sleep, please describe: |