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APPENDIX C Insomnia Severity Index 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 problem 1. Difficulty falling asleep 2. Difficulty staying asleep 3. Problem waking up too early None Mild Moderate 0 1 2 0 1 2 0 1 2 Severe Very severe 3 4 3 4 3 4 4. How SATISFIED/DISSATISFIED are you with your CURRENT sleep pattern? Very Satisfied Satisfied Moderately Satisfied Dissatisfied Very 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 A Little Somewhat Much Very Much Noticeable Noticeable 01234 6. How WORRIED/DISTRESSED are you about your current sleep problem? Not at all A Little Somewhat Much Very Much Worried 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 A Little Somewhat Much Very Much Interfering Interfering 01234 Scoring and Interpretation: The total score is the sum of all seven items Interpretation 0–7 = 8–14 = 15–21 = 22–28 = No clinically significant insomnia Subthreshold insomnia Clinical insomnia (moderate severity) Clinical insomnia (severe) 61PDF Image | BRIGHT LIGHT THERAPY FOR late NIGHT EATING SYNDRome
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