8-item scale based on ICD-10 insomnia criteria for clinical assessment. ≈ 2 min to complete. Free with attribution.
AIS (Athens Insomnia Scale) is a validated clinical instrument used to assess 8-item scale based on icd-10 insomnia criteria for clinical assessment.. It is most often used for 8-item scale based on icd-10 insomnia criteria for clinical assessment.. The instrument contains 8 items. Typical administration time is ≈ 2 min.
Source / attribution: Free to use with citation
8-item scale based on ICD-10 insomnia criteria for clinical assessment. AIS is part of standard practice in this setting because it provides a structured, replicable assessment that can be tracked over time and compared across patients or visits.
Like all screening or assessment instruments, AIS is a structured aid — not a diagnostic test in isolation. Results should be interpreted alongside history, examination, and clinical context. Where a score crosses an actionable threshold, the next step is typically a more detailed clinical evaluation rather than a definitive diagnosis.
Answer all 8 items below to see your AIS score and interpretation.
Each item is scored on a 4-point scale (0–3). Your score updates live as you answer.
All scoring runs in your browser. No data is sent anywhere — close the tab and the answers are gone.
Sum all 8 items scored 0-3. Total range 0-24. Score >= 6 indicates insomnia.
Scoring notes: Sum all 8 items scored 0-3. Total range 0-24. Score >= 6 indicates insomnia.
The cutoffs below are drawn from the published validation literature. Always interpret in clinical context.
| Score range | Band | Interpretation |
|---|---|---|
| 0–5 | No insomnia | None |
| 6–10 | Mild insomnia | Sleep hygiene |
| 11–17 | Moderate insomnia | Consider treatment |
| 18–24 | Severe insomnia | Active treatment |
This is an illustrative walkthrough, not a real patient. Follow the same four steps with your own answers — or use the live calculator at the top of this page.
Read each question and choose the response that best fits. Each response has a number next to it — that number is the item's score. The example below uses illustrative answers.
| # | Item | Example response | Score |
|---|---|---|---|
| 1 | Sleep induction (time needed to fall asleep after lights-off) | Slightly delayed/reduced | 1 |
| 2 | Awakenings during the night | Slightly delayed/reduced | 1 |
| 3 | Final awakening earlier than desired | Slightly delayed/reduced | 1 |
| 4 | Total sleep duration | Slightly delayed/reduced | 1 |
| 5 | Overall quality of sleep (no matter how long you slept) | Slightly delayed/reduced | 1 |
| 6 | Sense of well-being during the day | Slightly delayed/reduced | 1 |
| 7 | Functioning (physical and mental) during the day | Slightly delayed/reduced | 1 |
| 8 | Sleepiness during the day | Slightly delayed/reduced | 1 |
Add up all the item scores you noted in Step 1.
1 + 1 + 1 + 1 + 1 + 1 + 1 + 1 = 8
Find the row in the interpretation table whose range contains your total:
Total = 8 falls between 6 and 10 → Mild insomnia
Mild insomnia. Sleep hygiene
A score is one input alongside history and examination. AIS supports clinical judgment — it does not replace it.
Psychometric figures are drawn from the validation literature and may vary across clinical populations and translations.
If AIS doesn't fit your context, related instruments in sleep include:
| Scale | Measures | Items | Time |
|---|---|---|---|
| ISI | Brief screening measure for insomnia severity and outcomes. | 7 | ≈ 2 min |
| PSQI | 19-item measure assessing sleep quality and disturbances over one month. | 7 | ≈ 5 min |
| ESS | 8-item questionnaire measuring daytime sleepiness in everyday situations. | 8 | ≈ 2 min |
| PHQ-9 | Severity of depression | 9 | ≈ 3 minutes |
| GAD-7 | Severity of generalized anxiety | 7 | ≈ 2 minutes |
| AUDIT | 10-item WHO screening tool for hazardous alcohol consumption and dependence. | 10 | ≈ 3 min |
| CHA2DS2-VASc | Annual stroke risk in non-valvular atrial fibrillation | 8 | — |
| Glasgow Coma Scale | Level of consciousness after head injury | 3 | — |
AIS (Athens Insomnia Scale) is a validated instrument that assesses ICD-10 insomnia criteria for clinical assessment. It is designed for clinicians, medical students, evidence-synthesis researchers. It takes about 2 min to complete, and the 8 items are summed to produce a total score.
AIS typically takes about 2 min to administer. The exact duration varies a little depending on whether it is self-administered or completed with a clinician. Its brief format is part of what makes it practical for routine clinical use and for repeat administration when tracking change over time.
AIS contains 8 items. Item scores are summed to produce the total. Scores run from 0 to 24, grouped into 4 interpretation bands from ‘No insomnia’ up to ‘Severe insomnia’.
On the AIS (total score 0–24), scores of 18–24 fall in the ‘Severe insomnia’ band — interpreted as: Active treatment. The full ladder is: 0–5 — No insomnia: None.; 6–10 — Mild insomnia: Sleep hygiene.; 11–17 — Moderate insomnia: Consider treatment.; 18–24 — Severe insomnia: Active treatment. A higher score reflects a more severe presentation, and crossing a cutoff is a prompt to step up assessment or care — but these bands are screening thresholds, not diagnoses.
Scores of 0–5 fall in the ‘No insomnia’ band: None. A low score is reassuring but does not by itself rule out the underlying condition — if symptoms or clinical suspicion persist, reassess over time or use a complementary evaluation rather than relying on the number alone.
AIS has reported Cronbach's α of 0.87 in validation samples and test–retest reliability of 0.85. High diagnostic agreement with ICD-10 criteria. In practical terms, a Cronbach’s α around 0.87 indicates good internal consistency (the items hang together well), and a test–retest reliability of 0.85 means scores are strongly stable when the scale is repeated without real clinical change.
AIS is free to use with attribution — clinical, educational, and research use is permitted provided the original source is credited. If you publish results or reproduce the scale, include the citation to the source paper.
Soldatos, C. R., Dikeos, D. G., & Paparrigopoulos, T. J. (2000). Athens Insomnia Scale. Psychiatrica Scandinavica, 107(1), 5-10. This is the original publication for the AIS — the reference to cite when reporting results.
No. AIS is a structured assessment aid, not a diagnostic test. Its proper role is clinical assessment of ICD-10 insomnia criteria for clinical assessment — it standardizes assessment and flags who needs closer evaluation, but the result must be weighed alongside history, examination, and clinical context. When a score conflicts with your clinical impression, clinical judgment takes precedence; treatment decisions should never rest on a screening score alone.
AIS is supported by the following peer-reviewed sources: