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Therapists Gallery
CBT Training
CBT Supervision
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Contact us
Book a CBT appointment with a BABCP accredited Cognitive Behavioural Therapist
Online CBT appointments work in the same way as face-to-face Cognitive Behavioural Therapy
EMDR is a highly effective treatment for PTSD, Trauma & Anxiety Conditions
Compassion Focused Therapy appointments with CFT trained specialists
Couples CBT is a practical approach to resolving relationship problems.
Acceptance & Commitment Therapy appointments with qualified ACT experts
The Insomnia Severity Index
You can respond anonymously, and no data will be retained from this assessment. If you choose to include your initials and an email address, your results will be automatically sent to the email address provided. Please check that the email address has been entered correctly before submitting this form. All client information is managed on a strictly confidential basis. Please Note: Whilst every effort is made to ensure that our system is securely encrypted, email is not a completely secure means of communication. Think CBT does not accept liability for loss or theft of personal data where any individual chooses to transmit or receive information via email.
Time Remaining
Send my assessment results by email:
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Initials:
Email:
The Insomnia Severity Index
1.a Difficulty falling asleep: Please rate the current (i.e. last 2 weeks) severity of your insomnia problem(s)
None
Mild
Moderate
Severe
Very
1.b Difficulty staying asleep: Please rate the current (i.e. last 2 weeks) severity of your insomnia problem(s)
None
Mild
Moderate
Severe
Very
1.c Problem waking up too early: Please rate the current (i.e. last 2 weeks) severity of your insomnia problem(s)
None
Mild
Moderate
Severe
Very
2.How satisfied/dissatisfied are you with your current sleep pattern?
0 - Very Satisfied
1
2
3
4 - Very dissatisfied
3. To what extent do you consider your sleep problem to interfere with your daily functioning (e.g. daytime fatigue, ability to function at work/daily chores, concentration, memory, mood etc.)
Not at all interfering
A little
Somewhat
Much
Very Much Interfering
4. How noticeable to others do you think your sleeping problem is in terms of impairing the quality of your life?
Not at all noticeable
Barely
Somewhat
Much
Very much Noticeable
5. How worried/distressed are you about your current sleep problem?
Not at all
A little
Somewhat
Much
Very Much
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