INSOMNIA ASSESSMENT QUESTIONNAIRE


If your sleep is worrying you, we recommend that you complete this questionnaire. Read all the sentences carefully and select the option that best reflects the way you felt in the last two weeks.

This questionnaire should not be seen as a final diagnosis, but as a first screening of your difficulties with sleep.

If you feel that your sleep affects the quality of your daily life, we suggest that you seek professional help.


RESULTS


Up to 35% - You do not suffer from insomnia

36% -65% - You probably suffers from insomnia

66% -100% - You clearly suffers from insomnia
Consulta da Insónia

Consultório

Rua Andrade Corvo, 27. 4º Dt - 1050-008 Lisboa

telephone: +351 213 554 701

telephone: +351 967 601 363


HOSPITAL CUF TEJO

Av. 24 de Julho 171A, 1350-352 Lisboa


Instituto Luso-Cubano de Neurologia
Clínica Tejo

Campo Grande, 28 - 9º D - 1700-093 Lisboa


telephone: +351 217 961 430

telephone: +351 960 314 570

Instituto Luso-Cubano de Neurologia
Clínica Norte

Rua Dom Domingos de Pinho Brandão, 75, 4150-280 Porto


telephone: +351 222 012 097

telephone: +351 960 314 565