Free online insomnia screening test – Instant resultsby Vikas Prabhav Reading Time: < 1 minute This questionnaire is a screening tool for physicians to assist their clinical evaluation of insomnia. It can be used to screen for a sleep disorder. Please answer the following questions to the best of your ability. The screening tests and other psychological self-tests provided on thevividmind.org website are intended for educational purposes only and should not be understood to constitute a medical diagnosis or healthcare recommendation. Do not diagnose yourself based on these tests alone. If you screened positive for a disorder, please do not panic. Remember that this is just a test you are taking on the internet and not an expert diagnosis. Please reach out to a health care provider for help if you are distressed. By clicking next, you agree to the terms and conditions mentioned in our privacy policy. I have been told that I snore. Yes No I have been told that I stop breathing when I sleep. Yes No I have high blood pressure. Yes No My friends and family say that I’m grumpy and irritable. Yes No I have fallen asleep while driving. Yes No I suddenly wake gasping for breath. Yes No I am overweight Yes No I seem to be losing my sex drive Yes No I frequently wake with a dry mouth. Yes No I often feel sleepy and struggle to remain alert. Yes No I have difficulty falling asleep. Yes No Thoughts race through my mind and prevent me from sleeping. Yes No I anticipate a problem ith sleep w several times a week. Yes No I wake up and cannot go back to sleep. Yes No I worry about things and have trouble relaxing. Yes No I wake up earlier in the morning than I would like to. Yes No I lie awake for half an hour or more before I fall asleep. Yes No When I am angry or surprised or have strong emotions, there is a sudden and uncontrollable muscle weakness or paralysis of muscle groups. Yes No I have fallen asleep in inappropriate social settings. Yes No I have “sleep attacks” during the day no matter how hard I try to stay awake. Yes No I have had episodes of feeling paralyzed during my sleep or on awakening. Yes No Other than when exercising, I still experience muscle tension in my legs. Yes No I have noticed (or others have commented) that parts of my body jerk during sleep. Yes No When trying to go to sleep, I experience an Aching or crawling sensation in my legs. Yes No I have been told I kick at night. Yes No I experience leg pain and cramps at night. Yes No Sometimes I can’t keep my legs still at night. I just have to move them to feel comfortable. Yes No Even though I slept during the night, I feel sleepy during the day. Yes No How old are you? Gender Male Female Other Why are you taking this test? What do you do? 1 out of 4 Time's up
