Mental Health & Sleep Assessment
Confidential clinical questionnaire
Clinician Tool
⏱ Past 3 months
Sleep Questionnaire
Please answer based on your typical sleep patterns over the past 3 months.
Q1
How would you rate your overall sleep quality?
Q2
Difficulty falling asleep
Q3
Time to fall asleep
Q4
Hours of actual sleep
Q5
Waking during the night
Q6
Time awake during the night
Q7
Waking too early
Q8
Number of night wakings
Q9
Use of sleep medication
Q10
Tired in the morning
Q11
Tired during the day
Q12
Falling asleep at work
Q13
Falling asleep during leisure
Q14
Impact on concentration / productivity
Q15
Duration of sleep difficulties Not scored
⏱ Over the last 2 weeks
PHQ-8 Questionnaire
How often have you been bothered by any of the following problems?
Q1
Little interest or pleasure in doing things
Q2
Feeling down, depressed, or hopeless
Q3
Trouble falling or staying asleep, or sleeping too much
Q4
Feeling tired or having little energy
Q5
Poor appetite or overeating
Q6
Feeling bad about yourself
Q7
Trouble concentrating on things
Q8
Moving or speaking unusually slowly, or being unusually restless
⏱ Over the last 2 weeks
GAD-7 Questionnaire
How often have you been bothered by any of the following problems?
Q1
Feeling nervous, anxious or on edge
Q2
Not being able to stop or control worrying
Q3
Worrying too much about different things
Q4
Trouble relaxing
Q5
Being so restless that it is hard to sit still
Q6
Becoming easily annoyed or irritable
Q7
Feeling afraid as if something awful might happen
Auto-calculated
Scores & Summary
Scores update automatically as questions are answered.
Assessment Results
Sleep Questionnaire
—
out of 42
—
PHQ-8
—
out of 24
—
GAD-7
—
out of 21
—
🔒 Clinician Scoring & Interpretation
| Scale | Score | Severity | Recommended Action |
|---|---|---|---|
| Answer all questions then view scores | |||
| Scoring Reference | |
|---|---|
| Sleep (out of 42) | 0–10 Good · 11–20 Mild · 21–30 Moderate · 31+ Severe |
| PHQ-8 (out of 24) | 0–4 Minimal · 5–9 Mild · 10–14 Moderate · 15–19 Mod-Severe · 20+ Severe |
| GAD-7 (out of 21) | 0–4 Minimal · 5–9 Mild · 10–14 Moderate · 15+ Severe |
| Q15 (Sleep duration) | Not scored — clinician context only |