screener-wip-uk MCRI Sleep Screener-Wip-UK Step 1 of 29 3% 2a2a. Does your child have a regular bedtime (within 30 minutes every night)? Yes No/ not sure 2b2b. Does your child have a regular waking time (within 30 minutes every morning)? Yes No/ not sure 3a3a. Is your child's bedroom media free (e.g. no iPad/TV/Laptop)? Yes No/ not sure 4a4a. Is your child's bedroom cool, quiet and relatively dark? Yes No/ not sure 5a5a. Does your child have caffeine after 3pm (e.g. chocolate, tea, coffee, cola)? Yes No/ not sure 6a6a. Does your child do any stimulating activities (e.g. sports) or have any screen time (e.g. computer games, TV, iPad) in the hour before bed? Yes No/ not sure 7a7a. Does your child have problems going to sleep at the start of the night? Yes No/ not sure 8a8a. Does your child come in and out of their room or call out a lot before falling asleep? Yes No/ not sure 8b18b1. Does your child need to do an activity to fall asleep (e.g. watch TV, play a game)? Yes No/ not sure 8b28b2. Does your child need a specific item to fall asleep? Yes No/ not sure 8b38b3. Does your child need a person to fall asleep? (Including feeding to sleep) Yes No 8d8d. Does your child report an uncomfortable feeling in their legs, or moves them a lot, at the start of the night? Yes No 9a9a. Does your child fall asleep within 30 minutes of going to bed? Yes No 10a10a. Does your child worry at bedtime or worry about going to sleep? Yes No/ not sure 11a11a. Does your child wake up on their own at the start of the day? Yes No/ not sure 12a12a. Does your child sleep in late in the morning if given the chance? Yes No/ not sure Hidden12ai 13a13a. Does your child have problems with sleep disturbance or waking during the night? Yes No/ not sure 14a114a1. Does your child need to do an activity (e.g. watch TV, play a game) to fall back asleep? Yes No/ not sure 14a214a2. Does your child need a specific item to fall back asleep? Yes No/ not sure 14a314a3. Does your child need a person present to fall back asleep? Yes No 14c14c. Does your child report a restlessness of their legs when in bed? Yes No 14d14d. Does your child suddenly become agitated, perhaps crying or screaming, looking panicked, sweating and does not respond to soothing or comforting? Yes No/ not sure 14d214d2. Does this happen at the same time each night? Yes No 14e14e. Does your child wake up during the night alarmed by frightening dreams? Yes No 14f114f1. Does your child get out of bed and walk around as if awake but not respond to you, and not remember it in the morning? Yes No 14f214f2. Does your child have a conversation with you but not remember it in the morning? Yes No 1515. Is your problem that your child consistently wakes up before 6am in the morning? Yes No/ not sure 15a15a. Does your child take longer than 30 minutes to fall asleep? Yes No/ not sure 15b15b. Does your child get screen time or iPad/TV or other "treat" when they wake up in the morning? Yes No/ not sure Δ