Tools

• Insomnia Severity Index

  INSOMNIA SEVERITY INDEX Please rate the CURRENT (i.e. last 2 weeks) severity of your insomnia problem(s). 1. Difficulty falling asleep NONE MILD MODERATE SEVERE VERY SEVERE 2. Difficulty staying asleep NONE MILD MODERATE SEVERE VERY SEVERE 3. Problem waking up too early NONE MILD MODERATE...

• Restless Leg Screening – URGE

  URGE QUESTIONNAIRE A brief screening tool for restless legs syndrome (RLS). Answer each question below. U – URGE: Do you have an urge to move your legs, usually accompanied by an uncomfortable sensation? YES NO R – REST: Does the urge begin or worsen during...

• STOP BANG Score

  This calculates the risk you have of Obstructive Sleep Apnea, it does not diagnose it. If you have an elevated risk based on this score, it should be a conversation starter with your physicians STOP-BANG QUESTIONNAIRE 1. SNORING: Do you snore loudly (louder than talking...

• Epworth Sleepiness Score

  The Epworth Sleepiness Scale (ESS) is a simple, validated questionnaire used to measure a person’s level of daytime sleepiness. It asks how likely you are to doze off in eight common everyday situations, such as watching TV, sitting and reading, or riding as a passenger...