/10

DO YOU THINK HAVE TROUBLE WITH SLEEP (INSOMNIA) FOR MORE THAN 3 MONTHS NOW?

PLEASE ANSWER THIS SELF RATED SCALE DEVISED BY CHENNAI MINDS

1 / 10

1. I think I need help with my sleep related issues

2 / 10

2. I have trouble falling asleep for more than 3 nights a week

3 / 10

3. I worry a lot just before bedtime

4 / 10

4. I keep waking up a few times a night more than I would like

5 / 10

5. I keep waking up earlier than usual or earlier than I would like to

6 / 10

6. I rarely feel refreshed and feel tired when I wake up

7 / 10

7. I feel irritable or low at work the next day and struggle to concentrate as a result

8 / 10

8. I sometimes take alcohol to aid sleep

9 / 10

9. I take coffee more than 3 cups a day

10 / 10

10.I feel wound up at bedtime

Your score is