Sleep problems – SSC Medical History questionnaire	Response
Bed Time Problems	Yes / No / Not sure
Difficulty going to bed? (i.e., longer than 1 hour; tantrums, etc.)
Difficulty falling asleep?
Do you have to lay down with your child to get him/her to fall asleep?
Excessive Daytime Sleepiness	Yes / No / Not sure
Unusually tired/sleepy during the day?
Difficulty waking up in the morning?
Very long or frequent naps more often that other children his/her age?
Sleep-disordered Breathing	Yes / No / Not sure
Snore more than half the time?
Difficulty breathing at night?
Nighttime Awakenings	Yes / No / Not sure
Frequent or prolonged awakenings at night?
Sleepwalking or frequent nightmares?