Sleep Disturbance Questionnaire for Children
This questionnaire will allow your orthodontist to have a better understanding of the sleep-wake rhythm of your child and of any problems in his/her sleep behaviour.
Answer every question; in answering, consider each question as pertaining to the past 6 months of the child’s life. Please answer the questions by selection which one is most accurate.
- Never
- Occasionally (once or twice per month or less)
- Sometimes (once or twice per week)
- Often (3-4 times per week)
- Always (daily)

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