Penn State Worry Questionnaire
Please take a moment to complete this questionnaire.
I prefer to respond anonymously:
Name
Email

The Insomnia Severity Index
1.a Difficulty falling asleep: Please rate the current (i.e. last 2 weeks) severity of your insomnia problem(s)





1.b Difficulty staying asleep: Please rate the current (i.e. last 2 weeks) severity of your insomnia problem(s)





1.c Problem waking up too early: Please rate the current (i.e. last 2 weeks) severity of your insomnia problem(s)





2.How satisfied/dissatisfied are you with your current sleep pattern?





3. To what extent do you consider your sleep problem to interfere with your daily functioning (e.g. daytime fatigue, ability to function at work/daily chores, concentration, memory, mood etc.)





4. How noticeable to others do you think your sleeping problem is in terms of impairing the quality of your life?





5. How worried/distressed are you about your current sleep problem?