Insomnia Severity Index

The Insomnia Severity Index has seven questions. The seven answers are added up to get a total score.

For each question, please select the number that best describes your answer.
Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).

Insomnia Poblem: Difficulty falling asleep

None Mild Moderate Severe Very Severe

Insomnia Poblem: Difficulty staying asleep

None Mild Moderate Severe Very Severe

Insomnia Poblem: Problems waking up too early

None Mild Moderate Severe Very Severe

How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern?

Very Satisfied Satisfied Moderately Satisfied Dissatisfied Very Dissatisfied

How NOTICEABLE to others do you think your sleep problem is in terms of impairing the quality of your life?

Not at all Noticeable A Little Somewhat Much Very Much Noticeable

How WORRIED/DISTRESSED are you about your current sleep problem?

Not at all Worried A Little Somewhat Much Very Much Worried

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?

Not at all Interfering A Little Somewhat Much Very Much Interfering

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