Difficulty falling asleep.
Difficulty staying asleep.
Problems waking up too early.
How satisfied/dissatisfied are you with your current sleep pattern?
To what extent do you consider your sleep problem to interfere with your daily functioning (e.g. fatigue, work, concentration, memory, mood)?
How noticeable to others do you think your sleeping problem is in terms of impairing the quality of your life?
How worried/distressed are you about your current sleep problem?
Overall, how would you rate the quality of your sleep?