The Ford Insomnia Response to Stress Test (FIRST) was created at Henry Ford
Hospital and is used by researchers all over the country as a way to identify
people who may be susceptible to insomnia. Take this test and find out if
you are at risk.
When you experience the following situations how likely is it for you to have
difficulty sleeping? Circle an answer even if you have not experienced
these situations recently.
1. Before an important meeting the next
day
1-Not likely
2-Somewhat likely
3-Moderately likely
4-Very Likely
2. After a stressful experience during the
day
1-Not likely
2-Somewhat likely
3-Moderately likely
4-Very Likely
3. After a stressful experience in the
evening
1-Not likely
2-Somewhat likely
3-Moderately likely
4-Very Likely
4. After
4. After getting bad news during the
day
1-Not likely
2-Somewhat likely
3-Moderately likely
4-Very Likely
5. After watching a frightening movie or TV
show
1-Not likely
2-Somewhat likely
3-Moderately likely
4-Very Likely
6. After having a bad day at
work
1-Not likely
2-Somewhat likely
3-Moderately likely
4-Very Likely
7. After an argument
1-Not likely
2-Somewhat likely
3-Moderately likely
4-Very Likely
8. Before
8. Before having to speak in public
1-Not likely
2-Somewhat likely
3-Moderately likely
4-Very Likely
9. Before going
on vacation the next day
1-Not likely
2-Somewhat likely
3-Moderately likely
4-Very Likely
In the past month, how many days did you
experience considerable stress?
In the past month, how many days did stress
disrupt your sleep?
What was the stress?
Add
up your points. If your score is equal to or greater than
19, you are at risk for chronic insomnia.
Want to participate in a sleep study? Contact the Sleep Disorders &
Research Center at (313) 916-4152 to have your sleep problems analyzed and see
if you are eligible.
