0 / 30

Sleep & Thinking Questionnaire

This short questionnaire asks about your sleep and everyday thinking patterns. It takes about 5–8 minutes.

  • There are no right or wrong answers — choose what fits you best.
  • Answer based on how things have generally been for you recently.
  • Your responses are private and go directly to your provider.

Part 1 · Your sleep

A few questions about your bedtime and falling asleep.

Part 2 · Your thinking

For each statement, choose how often it is true for you.

✓

All done — thank you

Your answers have been recorded. Please hand the device back to your provider.

Provider view — POCS Beta I

Investigational instrument. Scoring key below is provisional.