Insomnia Severity Index

The Insomnia Severity Index has seven questions. The seven answers are added up to get a total score. When you have
your total score, look at the 'Guidelines for Scoring/Interpretation' below to see where your sleep difficulty fits.
For each question, please SELECT the option that best describes your answer.
Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).

Insomnia Problem
Please answer all of the questions
None Mild Moderate Severe Very Severe
Difficulty falling asleep

Difficulty staying asleep

Problems waking up too early

  Very Satisfied Satisfied Moderately Satisfied Dissatisfied Very Dissatisfied
How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern?

  Not at all Noticeable A Little Somewhat Much Very Much Noticeable
How NOTICEABLE to others do you think your sleep problem is in terms of impairing the quality of your life?

  Not at all Worried A Little Somewhat Much Very Much Worried
How WORRIED/DISTRESSED are you about your current sleep problem?

  Not at all Interfering A Little Somewhat Much Very Much Interfering
To what extent do you consider your sleep problem to INTERFERE with your daily functioning (e.g. daytime fatigue, mood, ability to function at work/daily chores, concentration, memory, mood, etc.) CURRENTLY?

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