Sleep and Chronobiology Program

Name: _
ID#: _ Date: _
Pittsburgh Insomnia Rating Scale (PIRS)
The following questions ask about your sleep in the past 7 days and Please circle the one best
nights. answer for each question.
In the past week, how much were you bothered Not at all Slightly Moderately Severely
by: bothered bothered bothered bothered

Over the past week, how would you rate: Excellent Good Fair Poor

© 2002, University of Pittsburqh, All rights reserved. Moul,D.E., Pilkonis,P.A., Miewald,J.M., Carey,T.J., and
Buysse,D.J. of the University of Pittsburgh.