Table 2 Items on autonomic regulation
Questions autonomic regulation | Possible answers On autonomic regulation | ||
|---|---|---|---|
Low = 1 | average = 2 | high = 3 | |
Orthostatic-circulatory regulation | |||
Do you suffer from dizzy spells? | frequently | occasionally | never |
Do you suffer from dizziness when you look down from a height? | frequently | occasionally | never |
Do you suffer from dizziness when you get up in the morning? | frequently | occasionally | never |
Do you suffer from dizziness when you straighten up or bend down? | frequently | occasionally | never |
Do you tend to have cold or cold-sweaty hands even in the warmer months? | frequently | occasionally | rarely |
Do you suffer from travel sickness (e.g. sea sickness)? | frequently | occasionally | almost |
Do you get dizzy from circular motions (when on a roundabout, for example)? | frequently | occasionally | almost |
Rest/activity regulation | |||
Do you have to pull yourself together to go to work? | frequently | occasionally | rarely |
Do you feel rested in the morning | rarely | occasionally | frequently |
Do you have problems falling asleep? | frequently | occasionally | rarely |
Do you tend to sweat? | frequently | occasionally | rarely |
Do you suffer from disturbed sleep? | frequently | occasionally | rarely |
At what time of the day do you feel most comfortable? | evening | in the middle of the day | morning |
Do you tend to sweat at night? | frequently | occasionally | rarely |
Do you tend to have stomach growling? | frequently | occasionally | rarely |
Digestive regulation | |||
How often do you have bowel movements? | < 1/day | approx. 1/day | > 1/day |
Do you normally have bowel movements at regular times? | rarely | occasionally | frequently |
Do you suffer from constipation? | frequently | occasionally | rarely |
18 item sum scale | |||