Insomnia
A. Complaint of dissatisfaction with sleep quality or quantity, which is related with one or more of the following:
1. Difficulty falling asleep - Yes No



2. Difficulty maintaining sleep, such as waking frequently, or problems going back to sleep after waking up. - Yes No


3. Waking up in the early morning with inability to fall asleep again. - Yes No


B. Causes distress or impairment in social, occupational or other important area of functioning. Yes No


C. Sleep problems occurs at least 3 nights per week. Yes No


D. Sleep problems is present for at least 3 months. Yes No


E. Sleep difficulty occurs despite adequate opportunity for sleep. Yes No


F. Insomnia does not occur completely during the course of another sleep-wake disorder. Yes No


G. Not due to drugs, other substance or medical conditions. Yes No


H. Other existing mental disorders or medical conditions do not sufficiently explain the main complaint of insomnia. Yes No

Result - Copy and paste this output: