Insomnia Quiz

The Insomnia Severity index is a self-reported questionnaire that consists of seven items to measure patients' perceptions of their insomnia. Please rate the past week's severity of your insomnia problems. Please complete the quiz and click "calculate score" at the end. In addition to your risk assessment, we will provide a summary sheet that you may print and give to your primary physician.

Difficulty falling asleep None
Mild
Moderate
Severe
Very Severe
Difficulty staying asleep None
Mild
Moderate
Severe
Very Severe
Problem waking up too early None
Mild
Moderate
Severe
Very Severe
How satisfied/dissatisfied are you with your current sleep patterns? Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
To what extent do you consider your sleep problem to interfere with your daily functioning (e.g. daytime fatigue, mood, memory, etc.)? Not at all
Slightly
Somewhat
Moderately
Very much
How noticeable to others do you think your sleeping problem is in terms of impairing the quality of your life? Not at all
Slightly
Somewhat
Moderately
Very much
How worried/distressed are you about your current sleep problem? Not at all
Slightly
Somewhat
Moderately
Very much
 
   

Source: Adapted from Morin, CM, Insomnia: Psychological assessment and management. Guilford, New York, 1993