Aurora Sleep Disorder Screening

A clinical screening tool for common sleep disorders

Important Notice

This tool provides screening information only. It does not diagnose medical conditions, recommend treatments, or replace professional medical evaluation.

Personal Information

We'll use this to send your screening results directly to you.

Full Name *

Phone Number *

Email Address *

How did you find this questionnaire? *

Clinics/hospital Online Events

Do you feel sleepy at bedtime but still cannot fall asleep? *

Yes No

Do you struggle to fall asleep at conventional bedtime (10–11 PM)? *

Yes No

Duration

How long have you been experiencing these signs? *

Less than 2 weeks 2 weeks to 3 months 3 months to 1 year More than 1 year

Screening Results

Your responses were analyzed for patterns associated with common sleep disorders. This screening does not provide a diagnosis.

Medical Disclaimer

This tool provides screening information only. It does not diagnose medical conditions. It does not recommend treatments. It does not replace professional medical evaluation. Users should consult qualified healthcare professionals for diagnosis and treatment.

Personal Information

Basic Questions

Sleep Satisfaction & Daytime Functioning

Duration

Screening Results

Primary Screening Finding

Diagnostic Severity Matrix

Additional Findings

Possible Overlap / Comorbid Sleep Conditions

Medical Disclaimer

Aurora Sleep Disorder Screening

Important Notice

Personal Information

Basic Questions

Sleep Satisfaction & Daytime Functioning

Duration

Screening Results

Primary Screening Finding

Diagnostic Severity Matrix

Additional Findings

Possible Overlap / Comorbid Sleep Conditions

Recommendation

Medical Disclaimer