Form: PROMIS Sleep Disturbance SF-8a

1.

In the past 7 days...

My sleep quality was
Very poor
Poor
Fair
Good
Very good
2. My sleep was refreshing.
Not at all
A little bit
Somewhat
Quite a bit
Very much
3. I had a problem with my sleep.
Not at all
A little bit
Somewhat
Quite a bit
Very much
4. I had difficulty falling asleep.
Not at all
A little bit
Somewhat
Quite a bit
Very much
5. My sleep was restless.
Not at all
A little bit
Somewhat
Quite a bit
Very much
6. I tried hard to get to sleep.
Not at all
A little bit
Somewhat
Quite a bit
Very much
7. I worried about not being able to fall asleep.
Not at all
A little bit
Somewhat
Quite a bit
Very much
8. I was satisfied with my sleep.
Not at all
A little bit
Somewhat
Quite a bit
Very much

The presented answer sheet is not an original form and is not intended for printing or use as a handout.