Sleep Assessment — Nova-Neuro

Nova Neuro Digital Screening

Sleep Performance Assessment

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Assessment Access Code

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Nova Neuro Digital Screening

Complete all seven items based on your current sleep-related symptoms and their impact on daily functioning.

Patient Name

Date of Birth

Age

Gender

Select one response from 0 through 4 for each item. Higher values indicate greater symptom severity or impact.

1. Trouble falling asleep

Rate the current severity of difficulty initiating sleep.

2. Trouble remaining asleep

Rate the current severity of difficulty maintaining sleep.

3. Waking earlier than desired

Rate the severity of waking too early and being unable to return to sleep.

4. Satisfaction with your current sleep pattern

Rate your level of dissatisfaction with your current sleep.

5. Effect of sleep problems on daytime functioning

Consider fatigue, concentration, memory, mood, and ability to perform daily activities.

6. How noticeable your sleep problem is to others

Consider whether others notice changes in your functioning related to poor sleep.

7. Worry or distress related to your sleep problem

Rate how concerned or distressed you are about your current sleep difficulties.

Total Score

—

Score Range

0–28

Classification

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Status

Not scored

ISI result will appear here after all seven items have been completed and scored.