All fields are required unless otherwise noted. Request to use sleep measure/instruments Name Email Address Sleep measure, instrument requested, (please select one) Sleep measure, instrument requested, (please select one)Pittsburgh Sleep Quality Index (PSQI)Brief Behavioral Treatment for Insomnia (BBTI) Organization Brief Description of Project Brief Description of Project Modification Requested (if required) Source of Funding Source of FundingNot FundedNIH FundedFederally Funded (non NIH)Industry SponsoredOther If other, funding source Additional Comments 3 + 3 = Please submit