The Sleep and Mood Questionnaire
| Q1. Have you ever been diagnosed with Depression? If “yes,” please continue. |
| Q2. Have you seen a health care professional within the past 6 months for depression? |
| If yes, was this a family doctor, psychiatrist, therapist, or other health care professional? |
| Q3. Have you ever used a medication to treat your depression? |
| If yes, what medication(s) have you tried? |
| Q4. Do you currently take antidepressant medications? |
| Q5. Have you ever tried medications specifically to improve your sleep? |
| If yes, what medication(s) have you tried? |
| Q6. Who referred you for your overnight sleep study? |
| Q7. Would you like to comment on the relationship between your sleep and your depression? |