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High-Signal Pediatric SRBD Risk Screener
Purpose:
This rapid screener focuses on 10 clinically significant symptoms of Sleep-Related Breathing Disorders (SRBD) in children, providing a quick assessment of high risk.
Instructions:
Please choose the option that best describes your child's behavior for each question.
1. Does your child snore?
Yes, frequently / always
Sometimes / Occasionally
No, rarely or never
2. Does your child often sleep with their mouth open, or appear to be a 'mouth breather' during the day?
Yes, frequently / always
Sometimes / Occasionally
No, rarely or never
3. Has your child had recurrent or chronic tonsillitis or been told they have enlarged tonsils/adenoids?
Yes, frequently / always
Sometimes / Occasionally
No, rarely or never
4. Does your child grind their teeth (bruxism) or clench their jaw during the night?
Yes, frequently / always
Sometimes / Occasionally
No, rarely or never
5. Does your child sweat excessively during sleep?
Yes, frequently / always
Sometimes / Occasionally
No, rarely or never
6. Is your child restless in bed, often changing positions, or sleeping in unusual positions?
Yes, frequently / always
Sometimes / Occasionally
No, rarely or never
7. Does your child wake up during the night after falling asleep?
Yes, frequently / always
Sometimes / Occasionally
No, rarely or never
8. Does your still child wet the bed regularly?
Yes, frequently / always
Sometimes / Occasionally
No, rarely or never
9. Is your child abnormally tired, drowsy, or irritable during the day?
Yes, frequently / always
Sometimes / Occasionally
No, rarely or never
10. Is your child's concentration or attention span noticeably poor, leading to problems at school or home?
Yes, frequently / always
Sometimes / Occasionally
No, rarely or never
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