Clinical Assessment

Standardized Sleep & Health Screening

ESS

Epworth Sleepiness Scale

Daytime Sleepiness Assessment

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired?

1. Sitting and reading

2. Watching TV

3. Sitting, inactive in a public place (e.g., theatre or meeting)

4. As a passenger in a car for an hour without a break

5. Lying down to rest in the afternoon

6. Sitting and talking to someone

7. Sitting quietly after a lunch without alcohol

8. In a car, while stopped for a few minutes in traffic

ISI

Insomnia Impact Screening

Please rate the severity of your insomnia symptoms over the past 2 weeks.

1. Difficulty falling asleep

2. Difficulty staying asleep

3. Problem waking up too early

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

5. To what extent do you consider your sleep problem to interfere with your daily functioning?

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

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

PHQ-9

Mood & Depression Screening

Over the last 2 weeks, how often have you been bothered by any of the following problems?

1. Little interest or pleasure in doing things

2. Feeling down, depressed, or hopeless

3. Trouble falling or staying asleep, or sleeping too much

4. Feeling tired or having little energy

5. Poor appetite or overeating

6. Feeling bad about yourself — or that you are a failure

7. Trouble concentrating on things

8. Moving or speaking so slowly... or opposite (fidgety)

9. Thoughts that you would be better off dead