Symptom Inventory Please rate the troublesomeness of the symptom on a scale of 0 10, with 10 being high. – 1 CATEGORY 0 10 – 0 - 10 Difficulty Bruxism falling asleep Difficulty Difficulty maintaining waking Disregulated Narcolepsy sleep cycle Night sweats Night terrors Nightmares or Nocturnal vivid dreams enuresis Periodic leg Restless leg movements Restless sleep Sleep apnea Sleep walking Snoring Talking during sleep 2 CATEGORY ATTENTION AND LEARNING Difficulty Difficulty following completing tasks directions Difficulty Difficulty organizing making personal time decisions or space Difficulty Difficulty remembering shifting names attention Difficulty Difficulty shifting thinking clearly Difficulty understanding Distractibility conversations Lack of Lacking alertness common sense Messy Not listening handwriting
Symptom Inventory Please rate the troublesomeness of the symptom on a scale of 0 – 10, with 10 being high. 1 CATEGORY 0 – 10 0 - 10 Bruxism Difficulty falling asleep Difficulty maintaining Difficulty waking Disregulated sleep cycle Narcolepsy Night sweats Night terrors Nightmares or vivid dreams Nocturnal enuresis Periodic leg movements Restless leg Restless sleep Sleep apnea Sleep walking Snoring Talking during sleep 2 CATEGORY ATTENTION AND LEARNING Difficulty completing tasks Difficulty following directions Difficulty making decisions Difficulty organizing personal time or space Difficulty remembering names Difficulty shifting attention Difficulty shifting Difficulty thinking clearly Difficulty understanding conversations Distractibility Lack of alertness Lacking common sense Messy handwriting Not listening
nf_symptom_inventory.docx