The PROMIS Sleep Questionnaire is a tool to measure the effectiveness of your insomnia treatment.
| Mile Marker 1 | Mile Marker 5 | Mile Marker 9 | |
|---|---|---|---|
| Date | |||
| Score | |||
| 1. In the past 7 days I had difficulty falling asleep... | |||
| 2. In the past 7 days I was satisfied with my sleep... | |||
| 3. In the past 7 days I worried about not being able to fall asleep... | |||
| 4. In the past 7 days I had a hard time concentrating because of poor sleep... | |||
| 5. In the past 7 days I felt irritable because of poor sleep... | |||
| 6. In the past 7 days I had problems during the day because of poor sleep... | |||
| 7. In the past 7 days I felt tired... | |||
| 8. In the past 7 days I had trouble staying asleep... | |||
| 9. In the past 7 days My sleep quality was... |