Course Survey: Sleep Health Education for Pediatric Providers

Please provide two responses for each statement below. In the line labeled “After the program”, select the response (unconfident, fairly unconfident, neutral, fairly confident, or very confident) that best describes your sleep health knowledge and practices now that you have finished the sleep health education program. In the section labeled “Before the Program” select the response (very unconfident, fairly unconfident, neutral, fairly confident, or very confident) that best described your sleep health knowledge and practices prior to the program.

1. My ability to apply the Basics of Healthy Sleep concepts to real patient problems or situations in clinical practice.

Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident
Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident

2. My ability to apply the Sleep and Development concepts to real patient problems or situations in clinical practice

Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident
Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident

3. My ability to apply the Sleep Health Healthy concepts to real patient problems or situations in clinical practice.

Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident
Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident

4. My ability to apply the Consequences of Deficient Sleep concepts to real patient problems or situations in clinical practice.

Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident
Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident

5. My ability to apply the Sleep Health Disparities concepts to real patient problems or situations in clinical practice.

Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident
Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident

6. My ability to apply the Screening and Evaluation concepts to real patient problems or situations in clinical practice

Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident
Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident

7. My ability to teach a peer about the basics of pediatric sleep and sleep health overall.

Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident
Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident

8. My intention to carry out sleep health screening in practices in school age children and pre-adolescents.

Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident
Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident

9. My intention to include sleep health in anticipatory guidance and counseling in school age children and pre-adolescents.

Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident
Very UnconfidentFairly UnconfidentNeutralFairly ConfidentVery Confident