CBT-I Introductory Module
Screening Questions
Cognitive Behavioural Therapy for Insomnia (CBT-I) is effective, but self-guided programs are not suitable for everyone. Please review the following statements. If any apply to you, please consult with a qualified healthcare provider before proceeding with this or any other CBT-I program.
Insomnia Severity Index (ISI)
For each question, please select the number that best describes your sleep problem over the past two weeks.
Pittsburgh Sleep Quality Index (PSQI)
The following questions relate to your usual sleep habits during the past month only. Your answers should indicate the most accurate reply for the majority of days and nights in the past month.
Q5: For each of the remaining questions, check the one best response. Please answer all questions.
During the past month, how often have you had trouble sleeping because you...
| Not during past month (0) | Less than once a week (1) | Once or twice a week (2) | Three or more times a week (3) | |
|---|---|---|---|---|
| a. Cannot get to sleep within 30 minutes | ||||
| b. Wake up in the middle of the night or early morning | ||||
| c. Have to get up to use the bathroom | ||||
| d. Cannot breathe comfortably | ||||
| e. Cough or snore loudly | ||||
| f. Feel too cold | ||||
| g. Feel too hot | ||||
| h. Had bad dreams | ||||
| i. Have pain | ||||
| j. Other reason(s), please describe |
Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16)
Please rate the degree to which you personally agree or disagree with the following statements. Choose a number from 0 to 10 on the scale, where 0 means you strongly disagree and 10 means you strongly agree.
Your Results Summary
Thank you for completing the questionnaires. Below is a summary of your results. This information is for educational purposes only and is intended to help you better understand your sleep.
Insomnia Severity Index (ISI)
Your total score:
This suggests:
Scores of 0-7 are considered not clinically significant. 8-14 suggest subthreshold insomnia. 15-21 suggest moderate insomnia, and 22-28 suggest severe insomnia. Scores of 15 or higher often indicate that a consultation with a healthcare professional is advisable.
Pittsburgh Sleep Quality Index (PSQI)
Your global score:
This indicates:
A global PSQI score greater than 5 is considered indicative of poor sleep quality.
Dysfunctional Beliefs and Attitudes about Sleep (DBAS-16)
Your average score:
The following beliefs were rated particularly highly (8 or above) and may be specific targets for cognitive work:
Scores below 4 suggest relatively few unhelpful beliefs about sleep. Scores of 4 or higher suggest that such beliefs may be contributing to sleep problems. Averages of 6 or more are associated with significantly reduced sleep efficiency.
Integrated Interpretation
Please remember: These results are not a diagnosis. They are intended to provide educational insight into your sleep patterns and related thoughts.
If your results indicate moderate-to-severe insomnia, poor sleep quality, or significant dysfunctional beliefs, we strongly encourage you to consult a qualified sleep specialist, psychologist, or your GP before starting any online self-help program. They can provide a comprehensive assessment and guide you to the most appropriate treatment.