REM Sleep Behavior Disorder Screening Questionnaire

REM Sleep Behavior Disorder Screening Questionnaire

Instructions: The following questionnaire is designed to screen for potential symptoms of REM Sleep Behavior Disorder (RBD). RBD is a sleep disorder characterized by acting out vivid and intense dreams during REM (rapid eye movement) sleep, often accompanied by vocalizations, movements, and potential harm to oneself or sleep partner. Please answer each question to the best of your ability, based on your recent experiences during sleep. Choose the response that most closely reflects your situation.

  1. Do you experience episodes during sleep where you physically act out your dreams, such as kicking, punching, or flailing your limbs? a) Yes, frequently b) Occasionally c) Rarely d) No, never
  2. Are you aware of your dream content while acting out during sleep? a) Yes, I am often aware of my dreams and my actions b) Sometimes, I have partial awareness c) Rarely, I have limited or no awareness d) No, I am unaware of my dreams or actions
  3. Have you injured yourself or your sleep partner as a result of your movements during sleep? a) Yes, I have caused injury multiple times b) Yes, I have caused injury on a few occasions c) No, I have never caused injury to myself or others d) Not applicable, as I sleep alone
  4. Do you frequently experience vocalizations, such as shouting, screaming, or talking, during your sleep episodes? a) Yes, frequently b) Occasionally c) Rarely d) No, never
  5. Have you noticed an increase in the intensity or frequency of these sleep episodes over time? a) Yes, they have been progressively worsening b) Yes, there have been some fluctuations in intensity and frequency c) No, they have remained relatively stable d) I have not noticed any changes
  6. Do you feel fearful or anxious about going to sleep due to the potential for disruptive sleep behaviors? a) Yes, I feel fearful and anxious every night b) Sometimes, depending on recent experiences c) Rarely, I have occasional concerns d) No, I do not have any fears or concerns about sleep behaviors
  7. Have you ever been told by a sleep partner or family member about your unusual behaviors during sleep? a) Yes, on multiple occasions b) Yes, a few times c) No, nobody has mentioned it to me d) I sleep alone and have no one to observe my behaviors

Scoring:

  • Give yourself 2 points for every “a” response.
  • Give yourself 1 point for every “b” response.
  • Give yourself 0 points for every “c” response.
  • Give yourself 0 points for every “d” response.

Interpretation:

  • 0-3 points: Your responses suggest a low likelihood of having REM Sleep Behavior Disorder.
  • 4-8 points: Your responses indicate a moderate likelihood of having REM Sleep Behavior Disorder. It is recommended to consult a healthcare professional for further evaluation and guidance.
  • 9-14 points: Your responses suggest a high likelihood of having REM Sleep Behavior Disorder. It is strongly advised to seek medical attention for a comprehensive evaluation and appropriate management.

Note: This questionnaire is intended for informational purposes only and is not a substitute for professional medical advice. If you suspect you may have REM Sleep Behavior Disorder or any other sleep disorder, please consult a healthcare professional for an accurate diagnosis and appropriate treatment.

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