All fields are required unless otherwise noted. Request to use sleep measure/instruments Prefix PrefixDr.Mr.Ms.Prof. First Name Last 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 Country Source of Funding Source of FundingNot FundedNIH FundedFederally Funded (non NIH)Industry SponsoredOther Brief Description of Project Modification Requested (if required) If other, funding source How did you hear about this instrument? Additional Comments 1 + 8 = Please submit
