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. 

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

Insomnia problemNoneMildModerateSevereVery severe
1. Difficulty falling asleep01234
2. Difficulty staying asleep01234
3. Problem waking up too early01234

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

Very SatisfiedSatisfiedModerately SatisfiedDissatisfiedVery Dissatisfied
01234

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 LittleSomewhatMuchVery Much Noticeable
01234

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

Not at all
Worried
A LittleSomewhatMuchVery Much Worried
01234

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 LittleSomewhatMuchVery Much Interfering
01234

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