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Preliminary Questions
Question 1: Do you sleep on your own? (yes=,no=)
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Question 3a: Where do you sleep? (Bed=,Other=)
Question 3b: (if other was selected) Okay please specify (Answer: ____)
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Question 6: How do you define your sleep environment? (Quiet=,Noisy=,Uncomfortable=)
Question 7: Please select your usual sleeping position (1,2,3,4)
Question 8: Do you have a regular bedtime routine? (Yes, No)
Question 1: During the past month, which of the following symptoms or problems have you had for: Snoring? (Never=,...,Don't know=)
Question 1: Please Tell Us Your Gender (Male/Female/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: _____)
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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: _____)
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