Struggling with sleep? The Insomnia Severity Index (ISI) assesses sleep onset, maintenance, and early morning awakening problems over the past 2 weeks. 7 items, about 3-5 minutes.

What Is the Insomnia Severity Index (ISI)?

The ISI measures a patient's perception of insomnia severity. Bastien, Vallières & Morin developed it in 2001. It is one of the more commonly used insomnia assessments out there.

Scale Structure

The ISI contains 7 items covering the core dimensions of insomnia:

  • Sleep difficulty severity (Q1-Q3): difficulty falling asleep, staying asleep, early morning awakening
  • Sleep satisfaction (Q4): subjective satisfaction with current sleep pattern
  • Daytime functioning impact (Q5): interference with daily functioning
  • Noticeability (Q6): how noticeable the impairment is to others
  • Distress (Q7): level of worry/distress about the sleep problem

Scoring

Each item rated 0-4, total score 0-28. Higher scores indicate more severe insomnia.

Clinical Cutoffs

  • 0-7: No clinically significant insomnia
  • 8-14: Mild to moderate insomnia symptoms
  • 15-21: Moderate insomnia (warrants evaluation and treatment)
  • 22-28: Severe insomnia (immediate professional help recommended)

Psychometric Properties

Validation data (Bastien et al., 2001):

  • Internal consistency: α = 0.90-0.91
  • Test-retest reliability: r = 0.83
  • Good convergent validity with sleep diary measures
  • Good sensitivity and specificity at various cutoffs

Reference

Bastien, C. H., Vallières, A., & Morin, C. M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. *Sleep Medicine*, 2(4), 297-307.

Morin, C. M. (1993). *Insomnia: Psychological Assessment and Management*. New York: Guilford Press.

Scoring Guide

Sum all 7 items (each rated 0-4) for a total score of 0-28. 0-7 = no clinically significant insomnia; 8-14 = mild/moderate insomnia symptoms; 15-21 = moderate insomnia; 22-28 = severe insomnia. Note: Q4 (satisfaction) is reverse-keyed in concept but scored consistently (0=very satisfied, 4=very dissatisfied) and summed directly.

Result Interpretation

After completing the 7 questions, you'll receive an immediate, detailed report with:

  • Your score — calculated automatically based on your responses
  • Score interpretation — what your score means in practical terms
  • Context — how your results compare to general population norms where available

All results are displayed on screen. No account or login needed.

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  • Item-by-item analysis — what each of your answers means
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