This Simplified Sleep Quality Index (SSQI) has five questions to help arrive at an indication of your sleep quality based on the well established sleep quality parameters of sleep latency, sleep duration, sleep interruption, daytime functioning and sleep quality.

For each question, please choose the one that best describes your experience over the last 2 weeks.

1. SLEEP LATENCY (ease in falling asleep) *

• I fall asleep easily - less than 15 mins.
• I fall asleep easily - between 15-30 mins.
• I have some difficulty falling asleep - between 30-60 min.
• I have much difficulty falling asleep - more than 60 min.

2. SLEEP DURATION (actual time spent sleeping) *

• I normally sleep at least 7 hrs.
• I normally sleep 6-7 hrs.
• I normally sleep 5-6 hrs.
• I normally sleep less than 5 hrs.

3. SLEEP INTERRUPTION (waking up during the night) *

• I sleep right through to the next morning.
• I sometimes wake up during the night – up to 1 time a week.
• I often wake up during the night – up to 3 times a week.
• I regularly wake up during the night – more than 3 times a week.

4. DAYTIME FUNCTIONING (feel calm, have energy, able to focus) *

• I am able to function well during the day.
• I SOMETIMES feel a little tired, stressed, anxious, and lack of focus.
• I OFTEN feel moody, tired, stressed, anxious, and lack of focus.
• I find it DIFFICULT to function normally during the day – often moody, depressed, tired, stressed, anxiety, poor memory, and lack of focus.

5. SLEEP QUALITY (overall feeling of satisfaction)

• I am SATISFIED with my sleep quality.
• I am A LITTLE DISSATISFIED with my sleep quality.
• I am DISSATISFIED with my sleep quality.
• I am VERY DISSATISFIED with my sleep quality.

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Please fill in the details below so we can send back your SSQI assessment and some tips on how to improve your sleep quality.

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