INSOMNIA EVALUATION QUESTIONNAIRE


The symptoms of insomnia can be difficulty falling asleep, waking up several times during the night, waking up too early in the morning or feeling that sleep is not refreshing. These symptoms occur in around 30% of adults, who experience various forms of ill-ease during the day including fatigue, memory or concentration problems, reduced motivation or increased risk of accidents.

If you suffer from any of the symptoms described above, we recommend you respond to this questionnaire. Read the prompts carefully and select the option that best reflects the way you have felt in the past two weeks. The test is anonymous and free (see our privacy policy).

This insomnia screening questionnaire should not be seen as a final diagnosis. If you feel that your sleep is harming your life, we suggest you seek professional help as soon as possible.