Variables in Child Sleep Habit Questionnaire (CSHQ)
Question# Question Field name  Response nature Response options
1 Participant ID PID ###  
2 Child ID csq_A 9###  
3 Initials of the child csq_B XX  
4 Researcher's code csq_C ##  
5 Date of interview csq_D ##-XXX-##  dd-mmm-yy 
6 Age of the child csq_E ##  
  Bedtime      
7 Weeknights…………../………am/pm    ##:## hh:mm
8 Weekends…………../……… am/pm   ##:## hh:mm
9 Child goes to bed at the same time at night.  csq_1 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
10 Child falls asleep within 20 minutes after going to bed. csq_2 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
11 Child falls asleep alone in own bed. csq_3 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
12 Child falls asleep in parent’s or sibling’s bed   csq_4 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
13 Child falls asleep with rocking or rhythmic movements. csq_5 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
14 Child needs special objects to fall asleep (doll, special blanket, stuffed animals, etc).  csq_6 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
15 Child needs parent in the room to fall asleep. csq_7 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
16 Child resists going to bed at bedtime. csq_8 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
17 Child is afraid of sleeping in the dark. csq_9 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
  Sleep behavior      
18 Write in your child’s usual amount of sleep each day (combining nighttime sleep and naps) ……..hours and…….minutes   ##:## hh:mm
19 Child sleeps about the same amount each day. csq_10 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
20 Child is restless and moves a lot during sleep. csq_11 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
21 Child moves to someone else’s bed during the night (parents, siblings, etc). csq_12 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
22 Child grinds teeth during sleep  (your dentist may have told you this). csq_13 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
23 Child snores loudly.  csq_14 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
24 Child awakens during night screaming, sweating, and inconsolable. csq_15 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
25 Child naps during the day. csq_16 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
         
26 Child wakes up once during the night. csq_17 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
27 Child wakes up more than once during the night. csq_18 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
  Morning wakeup time      
  Write in the time child usually wakes up in the morning :       
28 Weekdays……../………am/pm   ##:## hh:mm
29 Weekends……./………am/pm    ##:## hh:mm
30 Child wakes up by him/herself. csq_19 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
31 Child wakes up very early in the morning (or, earlier than necessary or desired). csq_20 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
32 Child seems tired during day time. csq_21 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
33 Child falls asleep while involved in activities. csq_22 # 1=Always, 2=Usually, 3=Sometimes, 4=Rarely, 5=Never
34 Remarks:   TXT