INSOMNIA SEVERITY INDEX
Please rate the CURRENT (i.e. last 2 weeks) severity of your insomnia problem(s).
1. Difficulty falling asleep
2. Difficulty staying asleep
3. Problem waking up too early
4. How satisfied or dissatisfied are you with your current sleep pattern?
5. How noticeable to others do you think your sleep problem is, in terms of impairing your quality of life?
6. How worried or distressed are you about your current sleep problem?
7. To what extent do you consider your sleep problem to interfere with your daily functioning (e.g. daytime fatigue, mood, concentration, memory) currently?
Disclaimer: This tool is not a diagnosis. It is intended to help gauge the severity of insomnia symptoms and to serve as a conversation starter with your healthcare provider.