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Hypersomnia Severity Index (HIS)

Hypersomnia Severity Index (HIS) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Questionnaires


Hypersomnia Severity Index (HSI)


1. For these next few questions, please consider your SLEEP IN THE PAST MONTH. To what extent do
you think that you:

Not at
All
A Little Somewhat A Lot Very
Much
Sleep too much at night? 0 1 2 3 4
Have difficulty waking up in the
morning or from naps? 0 1 2 3 4
Sleep during the day? 0 1 2 3 4
Feel sleepy during the daytime? 0 1 2 3 4


2. How SATISFIED/dissatisfied are you with your current sleep pattern?

Very satisfied Moderately
satisfied
Very dissatisfied
0 1 2 3 4


3. To what extent do you consider your sleep problem to INTERFERE with your daily functioning
(e.g., daytime fatigue, ability to function at work/daily chores, concentration, memory, mood, etc.)?

Not at all A little Somewhat Much Very much
0 1 2 3 4


4. How NOTICEABLE to others do you think your sleeping problem is in terms of impairing the quality
of your life?

Not at all
Noticeable
Barely Somewhat Much Very much
Noticeable
0 1 2 3 4


5. How WORRIED/DISTRESSED are you about your current sleep problem?

Not at all A little Somewhat Much Very much
0 1 2 3 4


6. Do you ever have “sleep attacks,” defined as unintended sleep in inappropriate situations?

Not at all Sometimes All the time
0 1 2 3 4