1. Do you get drowsy after meals?
A. Rarely
B. After breakfast or dinner
C. After lunch
If you are getting enough
sleep, you shouldn't get sleepy after any meal.
2. How long does it take you to
fall asleep at night?
A. 10-15 minutes
B. 5-10 minutes
C. Less than 5 minutes
It should take 10-15 minutes
unless you are sleep-deprived.
3. On weekends, do you . . . ?
A. Sleep same amount as during
the week
B. Sleep longer
Sleeping longer on weekends
is a sign your body has a sleep debt because you
are robbing yourself of sleep during the week.
4. How many nights a week do you
feel you don't get enough sleep?
A. Zero
B. 1-2 nights
C. 3-4 nights
D. 5-7 nights
More nights short on sleep
equals a greater sleep debt.
5. In the morning, you . . .
A. Get up without being awakened
by an alarm, etc.
B. Need to be awakened
C. Keep hitting the snooze
button
6. You get sleepy . . . (indicate
all answers which apply to you)
A. Only at bedtime
B. When a passenger (car,
airplane, etc.)
C. Reading or watching television
D. In meetings or at movies
E. When stopped in traffic
Normal people need 8 hours
of sleep every night. Getting sleepy during normal activities
is a symptom of fatigue
impairment.
7. Do you snore?
A. Never
B. Sometimes
C. Often and loudly
Frequent, obtrusive snoring
is a possible indicator of a sleep disorder.
8. What is your age?
A. 16-29 years
B. 30-60 years
C. 61 + years
The younger you are, the
more sleep your body requires.
9. You are getting off work and
you are worn out. What do you do?
A. Hit the road right away
B. Relax, stop for a happy
hour "attitude adjustment" drink
C. Stop for a meal including
1 (no more than 2) drinks
Alcohol and fatigue are a
deadly combination. Alcohol does not work as an "eye-opener".
10. Your drive home after work
is . . .
A. Short or you don't drive
B. Country roads
C. City/suburban streets
D. Freeways
11. It's late Friday night and
you're leaving on vacation. Your destination is a 6 hour drive
away. What do you do?
A. Wait until morning to
leave
B. Nap, get up and leave
at 3:00 a.m.
C. Drive through the night
12. When driving, you feel yourself
getting drowsy. You decide to stop for a bite to eat. What do
you have?
A. 1 or 2 cups of coffee
B. Fast food
C. Sugar-loaded snacks
D. A full meal
Food does not wake you up.
Caffeine may jolt you awake for a few minutes, but you don't know
how much you're getting or how it will really affect you.
13. You realize you are getting
drowsy and decide to turn on the radio to wake yourself up. What
do you listen to?
A. Mellow music
B. Loud, energetic music
C. Talk show/sports
Regardless of what you choose,
in a few minutes your mind will adjust to it and the fatigue will
once again take over.
14. What do you do to stay awake?
(Circle all which apply)
A. Pull over and get some
exercise
B. Slap yourself in the face
C. Talk or sing
D. Blast the air conditioner
E. Open the window
None of these have anything
to do with removing fatigue, although pulling over will at least
get you off the road.
15. You are 2 hours into a 6 hour
drive and your eyes are feeling heavy. What do you do?
A. Stop immediately and take
a long nap
B. Fight it as long as you
can, then pull over and take a long nap
C. Take a short "catnap"
D. Just get off the road
for a few minutes
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