Preliminary Questions

Questions

Preliminary

Question 1: Do you sleep on your own? (yes=1,no=2)

---

skipped question

---

Question 3: Where do you sleep? (Bed=1,Other=____)

---

skipped questions

---

Question 6: How do you define your sleep environment? (Quiet=1,Noisy=2,Uncomfortable=3)

Question 7: Please select your usual sleeping position (Supine=1,Prone=2,Left=3,Right=4)

Question 8: Do you have a regular bedtime routine? (Yes=1, No=2)

Nighttime Questions

Question 1: During the past month, which of the following symptoms or problems have you had for: Snoring? (Never=1,...,Don't know=6)

...

Question 21: If snoring or heavy breathing is present, how noisy have you usually been in the past month? (Does not apply=1,...,Not sure=6)

---

skipped question

---

Daytime Questions

Question 1: During the past month, which of the following symptoms or problems have you had for: Noisy breathing? (Never=1,...,Don't know=6)

...

Question 11: During the past month, which of the following symptoms or problems have you had for: Nap after Work/School? (Never=1,...,Don't know=6)

Demographics

Question 1: Please Tell Us Your Gender (Male=0/Female=1/Prefer not to answer)

Question 2: Are You Fluent In English? (Yes/No)

---

Question 2b: (if 'No' was selected): What Language Are You Fluent In? (____)

---

Question 3a: Is English Your First Language (Yes/No)?

Question 3b: (if 'No' was selected): What Is Your First Language? (_____)

Question 4a: What Is Your Ethnic Group? (1=Black/Black British (Caribbean Origin),...,6=Do not wish to answer)

Question 4b: (if 'Other was selected): Please specify your ethnic group: (_____)

Question 5: Head of household: Highest level of education? (Primary School=1,...Do not wish to answer=8)

Question 6: Primary Caregiver Marital Status (Single=1,...,Do not wish to answer=8)

Question 7 (Mother): Profession of parents (Mother: _____)

Question 7 (Father): Profession of parents (Father: _____)

---

skipped questions

---

Question 10 (<16): Please enter the number of people living in the household (under 16: ____)

Question 10 (18+): Please enter the number of people living in the household (over 18: ____)

Question 11a: Past medical history? (yes=1,no=0)

Question 11b: Please specify your medical history (Answer: ____)

Question 12a: Any past blood transfusions? (yes=1, no=0)

Question 12b: Please specify your blood transfusions (Answer:____)

Question 13: How often are pain crises? (≥1 per week=1,...Once=7)

Question 14: How often do you take medication? (Answer:____)

Question 15: How often are hospitalisations for pain? (Never=1,...Always=3)

Question 16: How many school/work absences per month for illness or pain? (Answer: ____)

Question 17 (Left): Edinburgh Handedness Inventory Writing (Left Hand: _____)

Question 17 (Right): Edinburgh Handedness Inventory Writing (Right Hand: _____)

Question 18 (Left): Edinburgh Handedness Inventory Drawing (Left Hand: _____)

Question 18 (Right): Edinburgh Handedness Inventory Drawing (Right Hand: _____)

Question 19 (Left): Edinburgh Handedness Inventory Throwing (Left Hand: _____)

Question 19 (Right): Edinburgh Handedness Inventory Throwing (Right Hand: _____)

Question 20 (Left): Edinburgh Handedness Inventory Scissors (Left Hand: _____)

Question 20 (Right): Edinburgh Handedness Inventory Scissors (Right Hand: _____)

Question 21 (Left): Edinburgh Handedness Inventory Toothbrush (Left Hand: _____)

Question 21 (Right): Edinburgh Handedness Inventory Toothbrush (Right Hand: _____)

Question 22 (Left): Edinburgh Handedness Inventory Knife (without fork) (Left Hand: _____)

Question 22 (Right): Edinburgh Handedness Inventory Knife (without fork) (Right Hand: _____)

Question 23 (Left): Edinburgh Handedness Inventory Spoon (Left Hand: _____)

Question 23 (Right): Edinburgh Handedness Inventory Spoon (Right Hand: _____)

Question 24 (Left): Edinburgh Handedness Inventory Broom (upper hand) (Left Hand: _____)

Question 24 (Right): Edinburgh Handedness Inventory Broom (upper hand) (Right Hand: _____)

Question 25 (Left): Edinburgh Handedness Inventory Striking match (Left Hand: _____)

Question 25 (Right): Edinburgh Handedness Inventory Striking match (Right Hand: _____)

Question 26 (Left): Edinburgh Handedness Inventory Opening box (lid) (Left Hand: _____)

Question 26 (Right): Edinburgh Handedness Inventory Opening box (lid) (Right Hand: _____)

Question 27 (Left): Edinburgh Handedness Inventory Drawing (Left Hand: _____)

Question 27 (Right): Edinburgh Handedness Inventory Drawing (Right Hand: _____)