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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
Noticeable
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
Worried
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
Interfering
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



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Exercise your mind! While there is no sure way to prevent Alzheimer's disease or other brain disorders, evidence suggests that senior citizens can cut their risk by keeping their minds and bodies in shape. Something as simple as walking around the house during housecleaning keeps muscles toned and improves balance. Seniors can stay mentally active by doing fun, light activities such as crossword puzzles, playing cards, chess or checkers, and writing in a journal.

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