| Anxiety10,11 | Over the past two weeks, have you felt nervous, anxious, or “on the edge”? |
| Over the past two weeks, have you been unable to stop or control your worrying? |
| Chronic fatigue syndrome | Have you had more than six months of fatigue that is not relieved by rest and is severe enough to limit your daily activities? |
| Have you had any of the following symptoms: fever, sore throat, enlarged or painful nodes, muscle weakness or pain, headaches, joint aches, trouble concentrating, or sleep disturbance? Did any of these symptoms occur over several hours to days? |
| Depression12 | Over the past two weeks, have you felt “down,” depressed, or hopeless? |
| Over the past two weeks, have you had little interest or pleasure in doing things? |
| Fibromyalgia | Have you had whole-body pain for a long time? |
| Are various parts of your body painful to touch? |
| Do you have trouble sleeping? |
| Do you feel tired more days than not, without an identifiable reason? |
| Irritable bowel syndrome | For three months or more in the past year: |
| Have you had abdominal pain or discomfort that is not relieved with a bowel movement? If so, has the pain or discomfort been associated with a change in stool frequency or appearance? |
| Do you have other symptoms such as heartburn, difficulty swallowing, nausea, feeling full soon after starting to eat, or bloating? |
| Restless legs syndrome13 | Do you have uncomfortable or unpleasant leg sensations when sitting or lying down? |
| Do you have an urge to move when sitting or lying down? |
| Are your symptoms worse when you are lying down than when moving around? |
| Are your symptoms relieved by moving around or walking? |
| Are your symptoms worse at night? |
| Sleep apnea14 | Assess patient for elevated body mass index and hypertension. |
| Do you snore? |
| Does your snoring bother other people? |
| How often have others noticed pauses in your breathing while sleeping? |
| Are you tired after sleeping? |
| Are you tired during the day? |
| Have you ever fallen asleep while driving? |
| Temporomandibular joint dysfunction15,16 | Do you have pain in your temples, face, temporomandibular joint, or jaws at least once a week? |
| Do you have pain at least once a week when you open your mouth wide or chew? |