Search
Close this search box.
Assessments

Sleep-Related Impairment – Adult

This measure is intended for adults ages 18 and up. Please respond to each item by selecting an option from each dropdown menu.

In the past 7 days...

1. 
I had a hard time getting things done because I was sleepy.

2. 
I felt alert when I woke up.

3. 
I felt tired.

4. 
I had problems during the day because of poor sleep.

5. 
I had a hard time concentrating because of poor sleep.

6. 
I felt irritable because of poor sleep.

7. 
I was sleepy during the daytime.

8. 
I had trouble staying awake during the day.

If you would like a copy of your answers and results emailed to you, please provide your email address here:

Success Stories

Get Anxiety Fighting Tips
to your Inbox!

Follow Us