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United States Department  of Veterans Affairs

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.

For each question, please CIRCLE the number that best describes your answer. Click here to print the Insomnia Severity Index.

Please rate the CURRENT (i.e. LAST 2 WEEKS) SEVERITY of your insomnia problem(s).

Insomnia problem None Mild Moderate Severe Very severe
1. Difficulty falling asleep 0 1 2 3 4
2. Difficulty staying asleep 0 1 2 3 4
3. Problem waking up too early 0 1 2 3 4

4. How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern?

Very Satisfied Satisfied Moderately Satisfied Dissatisfied Very Dissatisfied
0 1 2 3 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
A Little Somewhat Much Very Much Noticeable
0 1 2 3 4

6. How WORRIED/DISTRESSED are you about your current sleep problem?

Not at all
A Little Somewhat Much Very Much Worried
0 1 2 3 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
A Little Somewhat Much Very Much Interfering
0 1 2 3 4

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)

Print out your completed Insomnia Severity Index, along with the Guidelines for Scoring/Interpretation, to show to your health care provider.

Used with permission from Charles M. Morin, Ph.D., Université Laval

Tip of the Day

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Are you in a bad mood? If feelings of sadness and lack of energy keep you down for long periods of time, don't pass it off as just a "bad mood." Don't listen to people who say "It's all in your head." Yes, it is all in your head! That's where depression starts. The difference between depression and sadness is a physical part that affects sleep, appetite, concentration and memory. Just as in physical illness, depression can and should be treated. If you have symptoms such as feelings of worthlessness or emptiness, sleeplessness, anxiety, lack of energy, loss of interest in life, see your Health Care Provider immediately; you may also need to see a psychiatrist or licensed psychologist specializing in depression. Depression can be treated!

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