​Pittsburgh Sleep Quality Index
INSTRUCTIONS:
The following questions relate to your usual sleep habits during the past month ​only​. Your answers should indicate the most accurate reply for the majority of days and nights in the past month.
​Please answer all questions.
1.   During the past month, what time have you usually gone to bed at night?
2.   During the past month, how long (in minutes) has it usually taken you to fall asleep each night?
3.   During the past month, what time have you usually gotten up in the morning?
4.   During the past month, how many hours of actual sleep did you get at night? (This may be different than the number of hours you spend in bed.)
​For each of the r​emaining questions, check the one best response. Please answer all​ questions.
5.   During the past month, how often have you had trouble sleeping because you...
Frequency  
Not during the past month Less than once a week Once or twice a week Three or more times a week
 
 
 
 
 
 
 
 
 
 
6.   During the past month, how would you rate your sleep quality overall?
7.   During the past month, how often have you taken medicine to help you sleep (prescribed or "over the counter")?
8.  During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity?
9.  During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done?
10.  Do you have a bed partner or room mate?
If you have a room mate or bed partner, ask him/her how often in the past month you have had...
Frequency  
Not during the past month Less than once a week Once or twice a week Three or more times a week
 
 
 
 
 
11.  University status:
12.  University Classification (if student):