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' at the bottom of the Insomnia Severity Index page to see where your sleep difficulty fits. Print out a copy of your completed Insomnia Severity Index to take to your health care provider.
Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
Insomnia problem
None 0
Mild 1
Moderate 2
Severe 3
Very severe 4
1. Difficulty falling asleep
2. Difficulty staying asleep
3. Problem waking up too early
4. How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern?
Very Satisfied 0
Satisfied 1
Moderately Satisfied 2
Dissatisfied 3
Very Dissatisfied 4
5. How NOTICEABLE to others do you think your sleep problem is in terms of impairing the quality of your life?
Not at all 0
A Little 1
Somewhat 2
Much 3
Very Much Noticeable 4
6. How WORRIED/DISTRESSED are you about your current sleep problem?
Not at all 0
A Little 1
Somewhat 2
Much 3
Very Much Worried 4
7. 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 0
A Little 1
Somewhat 2
Much 3
Very Much Interfering 4
Results
Guidelines for Scoring/Interpretation: Add the scores for all seven items (questions 1 + 2 + 3 + 4 + 5 +6 + 7) = _______ your total score
Total score categories:
0–7 = No clinically significant insomnia
8–14 = Subthreshold insomnia
15–21 = Clinical insomnia (moderate severity)
22–28 = Clinical insomnia (severe)
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' at the bottom of the Insomnia Severity Index page to see where your sleep difficulty fits. Print out a copy of your completed Insomnia Severity Index to take to your health care provider.
Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).
Insomnia problem
None 0
Mild 1
Moderate 2
Severe 3
Very severe 4
1. Difficulty falling asleep
2. Difficulty staying asleep
3. Problem waking up too early
4. How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern?
Very Satisfied 0
Satisfied 1
Moderately Satisfied 2
Dissatisfied 3
Very Dissatisfied 4
5. How NOTICEABLE to others do you think your sleep problem is in terms of impairing the quality of your life?
Not at all 0
A Little 1
Somewhat 2
Much 3
Very Much Noticeable 4
6. How WORRIED/DISTRESSED are you about your current sleep problem?
Not at all 0
A Little 1
Somewhat 2
Much 3
Very Much Worried 4
7. 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 0
A Little 1
Somewhat 2
Much 3
Very Much Interfering 4
Results
Guidelines for Scoring/Interpretation: Add the scores for all seven items (questions 1 + 2 + 3 + 4 + 5 +6 + 7) = _______ your total score
Total score categories:
0–7 = No clinically significant insomnia
8–14 = Subthreshold insomnia
15–21 = Clinical insomnia (moderate severity)
22–28 = Clinical insomnia (severe)