RLS-QPast 1 monthAbout 1 minute 👥 No usage yetSource: Allen RP, Picchietti D, Hening WA, et al. (2003)

Restless Legs Syndrome Screening Questionnaire

The RLS screening questionnaire is based on the International Restless Legs Syndrome Study Group diagnostic criteria. It contains 4 yes/no items; a "yes" answer scores 1 point, with a total score of 0–4.

What this scale measuresBased on the four diagnostic criteria of the International Restless Legs Syndrome Study Group, this questionnaire checks whether you feel an urge to move your legs at rest, get relief by moving, and whether symptoms worsen in the evening. Meeting all four criteria suggests you should see a neurologist or sleep specialist.
How to read your score
  • Unlikely0 – 2

    You currently do not meet the main diagnostic features of restless legs syndrome.

  • Unlikely3 – 4

    You currently do not meet the main diagnostic features of restless legs syndrome.

These ranges are for screening reference only and cannot replace a professional diagnosis.

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Important: This result is for self-screening only

All scales on this site are publicly available academic screening tools, not medical devices, and do not constitute a clinical diagnosis. Results are affected by mood, routine, environment, and physical condition.

  • Scale results cannot be used as the sole basis for diagnosis, medication, treatment, or prescription.
  • Do not self-diagnose or self-medicate based solely on scale scores.
  • If you have physical, mental, sleep, or emotional concerns, please consult a qualified healthcare provider.

Users assume full responsibility for any medical or wellness decisions based on these results.