{"id":8521,"date":"2021-05-26T10:50:41","date_gmt":"2021-05-26T17:50:41","guid":{"rendered":"https:\/\/www.telemedical.com\/wordpress\/?page_id=8521"},"modified":"2021-05-26T10:51:27","modified_gmt":"2021-05-26T17:51:27","slug":"insomnia-questionairre","status":"publish","type":"page","link":"https:\/\/www.telemedical.com\/wordpress\/insomnia-questionairre\/","title":{"rendered":"Insomnia Questionairre"},"content":{"rendered":"<script type=\"text\/javascript\" >\ndocument.addEventListener(\"DOMContentLoaded\", function(event) { \nif(!window.jQuery) alert(\"The important jQuery library is not properly loaded in your site. Your WordPress theme is probably missing the essential wp_head() call. You can switch to another theme and you will see that the plugin works fine and this notice disappears. If you are still not sure what to do you can contact us for help.\");\n});\n<\/script>  \n  \n<div  id=\"watupro_quiz\" class=\"quiz-area single-page-quiz\">\n<p id=\"submittingExam13\" style=\"display:none;text-align:center;\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.telemedical.com\/wordpress\/wp-content\/plugins\/watupro\/img\/loading.gif\" width=\"16\" height=\"16\"><\/p>\n\n\n\n<form action=\"\" method=\"post\" class=\"quiz-form\" id=\"quiz-13\"  enctype=\"multipart\/form-data\" >\n<div class='watu-question ' id='question-1' style=';'><div id='questionWrap-1'  class='   watupro-question-id-71'>\n\t\t\t<div class='question-content'><p><span class='watupro_num'>1. <\/span>What is your age ?<\/p>\n<div class='watupro-slider' id='watuPROSlider71'><\/div><div id='watuPROSliderValue71'>18<\/div><input type=\"hidden\" name=\"answer-71[]\" class=\"answerof-71\" id=\"field-watuPROSliderValue71\" value=\"18\">\t\t\t\t\t<script type=\"text\/javascript\">\r\n\t\t\t\t\tdocument.addEventListener('DOMContentLoaded', function(event) {\n\t\t\t\t\t   jQuery('#watuPROSlider71').slider({\n\t\t\t\t\t   \tmin: 18,\n\t\t\t\t\t   \tmax: 120,\n\t\t\t\t\t   \tvalue: 18,\n\t\t\t\t\t   \tslide: function( event, ui ) {\n\t\t\t\t\t   \t\tjQuery('#watuPROSliderValue71').html(ui.value);\n\t\t\t\t\t   \t\tjQuery('#field-watuPROSliderValue71').val(ui.value);\n\t\t\t\t\t   \t}\n\t\t\t\t\t   });\n\t\t\t\t\t});\n\t\t\t\t\t<\/script>\n\t\t\t\t\t<input type='hidden' name='question_id[]' id='qID_1' value='71' class='watupro-question-id'\/><input type='hidden' id='answerType71' class='answerTypeCnt1' value='slider'><!-- end question-content--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-2' style=';'><div id='questionWrap-2'  class='   watupro-question-id-72'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>2. <\/span>Are you a biological male or female ?<\/div><input type='hidden' name='question_id[]' id='qID_2' value='72' class='watupro-question-id'\/><input type='hidden' id='answerType72' class='answerTypeCnt2' value='radio'><!-- end question-content--><\/div><div class='question-choices watupro-choices-columns '><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-72[]' id='answer-id-306' class='answer   answerof-72 ' value='306'   \/><label for='answer-id-306' id='answer-label-306' class=' answer'><span>Female<\/span><\/label><\/div><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-72[]' id='answer-id-307' class='answer   answerof-72 ' value='307'   \/><label for='answer-id-307' id='answer-label-307' class=' answer'><span>Male<\/span><\/label><\/div><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-3' style=';'><div id='questionWrap-3'  class='   watupro-question-id-73'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>3. <\/span>Do you have known sleep apnea\u00a0 \u00a0or suspect that\u00a0 you might have sleep apnea ?<\/div><input type='hidden' name='question_id[]' id='qID_3' value='73' class='watupro-question-id'\/><input type='hidden' id='answerType73' class='answerTypeCnt3' value='radio'><!-- end question-content--><\/div><div class='question-choices watupro-choices-columns '><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-73[]' id='answer-id-308' class='answer   answerof-73 ' value='308'   \/><label for='answer-id-308' id='answer-label-308' class=' answer'><span>yes<\/span><\/label><\/div><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-73[]' id='answer-id-309' class='answer   answerof-73 ' value='309'   \/><label for='answer-id-309' id='answer-label-309' class=' answer'><span>no<\/span><\/label><\/div><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-4' style=';'><div id='questionWrap-4'  class='   watupro-question-id-74'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>4. <\/span>Are you taking any medication for sleep ?<\/div><input type='hidden' name='question_id[]' id='qID_4' value='74' class='watupro-question-id'\/><input type='hidden' id='answerType74' class='answerTypeCnt4' value='radio'><!-- end question-content--><\/div><div class='question-choices watupro-choices-columns '><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-74[]' id='answer-id-310' class='answer   answerof-74 ' value='310'   \/><label for='answer-id-310' id='answer-label-310' class=' answer'><span>yes<\/span><\/label><\/div><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-74[]' id='answer-id-311' class='answer   answerof-74 ' value='311'   \/><label for='answer-id-311' id='answer-label-311' class=' answer'><span>no<\/span><\/label><\/div><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-5' style=';'><div id='questionWrap-5'  class='   watupro-question-id-75'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>5. <\/span>Do you have any chronic medical conditions ?<\/div><input type='hidden' name='question_id[]' id='qID_5' value='75' class='watupro-question-id'\/><input type='hidden' id='answerType75' class='answerTypeCnt5' value='radio'><!-- end question-content--><\/div><div class='question-choices watupro-choices-columns '><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-75[]' id='answer-id-312' class='answer   answerof-75 ' value='312'   \/><label for='answer-id-312' id='answer-label-312' class=' answer'><span>yes<\/span><\/label><\/div><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-75[]' id='answer-id-313' class='answer   answerof-75 ' value='313'   \/><label for='answer-id-313' id='answer-label-313' class=' answer'><span>no<\/span><\/label><\/div><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-6' style=';'><div id='questionWrap-6'  class='   watupro-question-id-76'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>6. <\/span>Do you haven any current drug prescriptions ?<\/div><input type='hidden' name='question_id[]' id='qID_6' value='76' class='watupro-question-id'\/><input type='hidden' id='answerType76' class='answerTypeCnt6' value='radio'><!-- end question-content--><\/div><div class='question-choices watupro-choices-columns '><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-76[]' id='answer-id-314' class='answer   answerof-76 ' value='314'   \/><label for='answer-id-314' id='answer-label-314' class=' answer'><span>yes<\/span><\/label><\/div><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-76[]' id='answer-id-315' class='answer   answerof-76 ' value='315'   \/><label for='answer-id-315' id='answer-label-315' class=' answer'><span>no<\/span><\/label><\/div><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-7' style=';'><div id='questionWrap-7'  class='   watupro-question-id-77'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>7. <\/span>Do you have a history\u00a0 of bipolar disorder, schizophrenia, or any other psychotic disorder ?<\/div><input type='hidden' name='question_id[]' id='qID_7' value='77' class='watupro-question-id'\/><input type='hidden' id='answerType77' class='answerTypeCnt7' value='radio'><!-- end question-content--><\/div><div class='question-choices watupro-choices-columns '><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-77[]' id='answer-id-316' class='answer   answerof-77 ' value='316'   \/><label for='answer-id-316' id='answer-label-316' class=' answer'><span>yes<\/span><\/label><\/div><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-77[]' id='answer-id-317' class='answer   answerof-77 ' value='317'   \/><label for='answer-id-317' id='answer-label-317' class=' answer'><span>no<\/span><\/label><\/div><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-8' style=';'><div id='questionWrap-8'  class='   watupro-question-id-78'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>8. <\/span>Do you have a history of epilepsy ?<\/div><input type='hidden' name='question_id[]' id='qID_8' value='78' class='watupro-question-id'\/><input type='hidden' id='answerType78' class='answerTypeCnt8' value='radio'><!-- end question-content--><\/div><div class='question-choices watupro-choices-columns '><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-78[]' id='answer-id-318' class='answer   answerof-78 ' value='318'   \/><label for='answer-id-318' id='answer-label-318' class=' answer'><span>yes<\/span><\/label><\/div><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-78[]' id='answer-id-319' class='answer   answerof-78 ' value='319'   \/><label for='answer-id-319' id='answer-label-319' class=' answer'><span>no<\/span><\/label><\/div><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-9' style=';'><div id='questionWrap-9'  class='   watupro-question-id-79'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>9. <\/span>Do you have any known strange behaviors prior , during, upon awaking, or after sleep ?<\/div><input type='hidden' name='question_id[]' id='qID_9' value='79' class='watupro-question-id'\/><input type='hidden' id='answerType79' class='answerTypeCnt9' value='radio'><!-- end question-content--><\/div><div class='question-choices watupro-choices-columns '><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-79[]' id='answer-id-320' class='answer   answerof-79 ' value='320'   \/><label for='answer-id-320' id='answer-label-320' class=' answer'><span>yes<\/span><\/label><\/div><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-79[]' id='answer-id-321' class='answer   answerof-79 ' value='321'   \/><label for='answer-id-321' id='answer-label-321' class=' answer'><span>no<\/span><\/label><\/div><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-10' style=';'><div id='questionWrap-10'  class='   watupro-question-id-80'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>10. <\/span>How many hours of sleep to you get in a 24 hr period ?<\/div><input type='hidden' name='question_id[]' id='qID_10' value='80' class='watupro-question-id'\/><input type='hidden' id='answerType80' class='answerTypeCnt10' value='textarea'><!-- end question-content--><\/div><div class='question-choices '><p><textarea name='answer-80[]' id='textarea_q_80' class='watupro-textarea-medium' rows='5' cols='80'><\/textarea>\n<\/p><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-11' style=';'><div id='questionWrap-11'  class='   watupro-question-id-81'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>11. <\/span>Do you have daytime sleepiness ?<\/div><input type='hidden' name='question_id[]' id='qID_11' value='81' class='watupro-question-id'\/><input type='hidden' id='answerType81' class='answerTypeCnt11' value='radio'><!-- end question-content--><\/div><div class='question-choices watupro-choices-columns '><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-81[]' id='answer-id-322' class='answer   answerof-81 ' value='322'   \/><label for='answer-id-322' id='answer-label-322' class=' answer'><span>yes<\/span><\/label><\/div><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-81[]' id='answer-id-323' class='answer   answerof-81 ' value='323'   \/><label for='answer-id-323' id='answer-label-323' class=' answer'><span>no<\/span><\/label><\/div><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div class='watu-question ' id='question-12' style=';'><div id='questionWrap-12'  class='   watupro-question-id-82'>\n\t\t\t<div class='question-content'><div><span class='watupro_num'>12. <\/span>Do you have any device\u00a0 or personal diary data on your sleeping history ?<\/div><input type='hidden' name='question_id[]' id='qID_12' value='82' class='watupro-question-id'\/><input type='hidden' id='answerType82' class='answerTypeCnt12' value='radio'><!-- end question-content--><\/div><div class='question-choices watupro-choices-columns '><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-82[]' id='answer-id-324' class='answer   answerof-82 ' value='324'   \/><label for='answer-id-324' id='answer-label-324' class=' answer'><span>yes<\/span><\/label><\/div><div class='watupro-question-choice  ' dir='auto' ><input type='radio' name='answer-82[]' id='answer-id-325' class='answer   answerof-82 ' value='325'   \/><label for='answer-id-325' id='answer-label-325' class=' answer'><span>no<\/span><\/label><\/div><!-- end question-choices--><\/div><!-- end questionWrap--><\/div><\/div><div id=\"watuproContactDetails-13-end\" style='display:none;' class=\"watupro-ask-for-contact watupro-ask-for-contact-quiz-13 \"> \t\t\t\t<p>Your email address: <br>\t<input type=\"text\" size=\"30\" name=\"watupro_taker_email\" id=\"watuproTakerEmail13\" class=\"optional watupro-contact-field\" value=\"\"> \t\t\t<span class=\"error watupro-contact-error\" id=\"watuproTakerEmailError13\" style=\"color:red;\"><\/span>\t \t\t<\/p> \t\t \t\t\t<p>Your name: 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