Objective: To clarify the patient characteristics associated with seeking medical help for insomnia.Methods: A consecutive sample (n ‫؍‬ 700) of adults attending a nonurgent primary care appointment was screened for sleep problems. A follow-up mailed survey then assessed insomnia symptoms, daytime impairment, beliefs about sleep, medication use, sleepiness and fatigue, and medical help-seeking.Results: Fifty-two percent of patients with probable insomnia reported discussing this with a physician. Multivariate logistic regression analyses indicated that discussing one's probable insomnia with a physician was independently associated with having a greater number of medical conditions ( Approximately 40% of community-dwelling adults and 69% of primary care patients report sleep problems in the form of difficulty falling asleep, discontinuous sleep, and/or nonrestorative sleep.