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  1. Surveys
  2. 2011
  3. October
  4. I
  5. insomnia, mindfulness and well-being
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Difficulty falling asleep
None
Mild
Moderate
Severe
Very Severe
 
 
Difficulty staying asleep
None
Mild
Moderate
Severe
Very Severe
 
 
Problems waking up too early
None
Mild
Moderate
Severe
Very Severe
 
 
How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern?
Very Satisfied
Satisfied
Moderately Satisfied
Dissatisfied
Very Dissatisfied
 
 
How NOTICEABLE to others do you think your sleep problem is in terms of impairing the quality of your life?
Not at all Noticeable
A Little
Somewhat
Much
Very Much Noticeable
 
 
How WORRIED/DISTRESSED are you about your current sleep problem?
Not at all worried
A Little
Somewhat
Much
Very Much worried
 
 
To what extent do you consider your sleep problem to INTERFERE with your daily functioning (e.g. daytime
fatigue, mood, ability to function at work/daily chores, concentration, memory, mood, etc.) CURRENTLY?
Not at all interfering
A Little
Somewhat
Much
Very Much interfering
 
 
I notice changes in my body, such as whether my breathing
slows down or speeds up
Never or very rarely true
Rarely true
Sometimes true
Often true
Very often or always true
 
 
I’m good at finding the words to describe my feelings
Never or very rarely true
Rarely true
Sometimes true
Often true
Very often or always true
 
 
I’m good at finding the words to describe my feelings
Never or very rarely true
Rarely true
Sometimes true
Often true
Very often or always true
 
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