Final assessment: Insomnia Severity Index

For each question, please choose the answer that best describes your situation.

Rate the current (i.e. last 2 weeks) severity of your insomnia problems.

Start

None Mild Moderate Severe Very severe

None Mild Moderate Severe Very severe

None Mild Moderate Severe Very severe

Very Satisfied Satisfied Moderately Satisfied Dissatisfied Very Dissatisfied

Not at all interfering A little Somewhat Much Very much interfering

Not at all noticeable A little Somewhat Much Very much noticeable

Not at all worried A little Somewhat Much Very much worried

Not at all A little Somewhat Beneficial Very beneficial

Yes No

Rate the current (i.e. last 2 weeks) severity of your insomnia problems.