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Sleep disorders are extremely common and have substantial adverse impacts on both quality of life and mental health. Three of the most common sleep disorders are insomnia, obstructive sleep apnea (OSA), and restless legs syndrome (RLS). Psychiatric disorders such as depression and anxiety are more common in people who have insomnia. Furthermore, chronic insomnia is also a risk factor for the development of psychiatric disorders.1 OSA is a common respiratory sleep disorder characterized by recurrent upper airway collapse during sleep, leading to recurrent asphyxia and sleep fragmentation. Patients with OSA are at increased risk of having motor vehicle crashes, cardiovascular disease, hypertension, and stroke.2,3 Furthermore, OSA is an independent risk factor for the development of incident depression.4 Treatment of OSA leads to substantial improvements in daytime sleepiness, mood, and quality of life.5,6 RLS is a sensorimotor disorder that has a significant impact on sleep. Characteristic symptoms include the desire to move the limbs associated with paresthesia or dysesthesia, which begin or worsen during periods of inactivity predominately in the evening and are relieved by movement.7 A number of studies have demonstrated significant associations between RLS and daytime dysfunction, depression, and anxiety.8–10 Indigenous North American people (American Indian) are a medically vulnerable population with reduced access to healthcare services. They have an increased risk of developing health problems, such as diabetes, cardiovascular disease, obesity, and traumatic injuries.11–13 Furthermore, this population has high rates of depression and other mental health problems.14 The purpose of this study was to assess the prevalence of common sleep symptoms in this population and to determine whether these symptoms are associated with depression. To accomplish this, we performed a community-based survey study of adult indigenous North American people living in the northwestern part of British Columbia, Canada.