The evaluation of insomnia begins with a history and physical examination.

Usually, the physical exam is normal.

Physical findings in someone with insomnia may include:

• Large tongue
• Large tonsils
• Obesity
• Small jaw
• Tremor
• Wheezing
• Rapid breathing rate
• Rapid pulse

Tests that may be used to evaluate insomnia include:

• Sleep diary:
• Daily record of when sleep occurs
• Sleep studies:
• Testing that occurs in a sleep lab