Insomnia Severity Index (if sleep concerns are common)

None Mild Moderate Severe Very severe

None Mild Moderate Severe Very severe

None Mild Moderate Severe Very severe

Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied

Not at all noticeable A little Somewhat Much Very much noticeable

Not at all worried A little Somewhat Much Very much worried

Not at all interfering A little Somewhat Much Very much interfering