Sleep & CBT-I worksheets

CBT-I worksheets that build sleep, not chase it.

Ten worksheets covering the full CBT-I protocol — diary, restriction, stimulus control, cognitive work — plus Imagery Rehearsal Therapy for nightmares, shift-work and jet-lag protocols, and taper support. Free, printable, first-line.

10 worksheets Print-ready · US Letter Free · no signup
Assessment
2p · PDF

CBT-I Sleep Diary (2 weeks)

Data before intervention

Standard CBT-I two-week sleep diary — the foundation for every downstream intervention.

Every insomnia intake; before starting sleep restriction; medication tapers.
Open →
CBT-I
1p · PDF

Sleep Restriction Worksheet

Less time in bed, more consolidated sleep

Calculate the sleep window, track efficiency weekly, adjust in 15-minute increments.

Insomnia disorder; CBT-I second week; long-time-in-bed patterns.
Open →
CBT-I
1p · PDF

Stimulus Control Worksheet

Retrain bed = sleep

The six rules of stimulus control plus a plan for out-of-bed 2am activity.

Insomnia with in-bed scrolling / worrying; middle-of-night waking; CBT-I core.
Open →
CBT-I
1p · PDF

Insomnia Cognitive Work Worksheet

Dismantle the sleep-effort paradox

Test rigid sleep beliefs against actual next-day impact; write a new sleep permission.

Sleep-anxious clients; CBT-I cognitive module; catastrophic '8 hours or ruined' beliefs.
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Skills
1p · PDF

60-Minute Wind-Down Routine

Boring routines work

Design a repeatable 60-minute pre-bed routine with standard elements to try.

Delayed sleep onset; hyperaroused evenings; parents needing structure.
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Nightmares
1p · PDF

Imagery Rehearsal (Nightmare) Worksheet

IRT for chronic and PTSD nightmares

Standard IRT: brief description, rewrite (any element), 5–10 minute daily rehearsal.

Recurring nightmares; PTSD-related nightmares; first-line treatment.
Open →
Circadian
1p · PDF

Shift Work Sleep Worksheet

Light, darkness, caffeine, meals

Rotation-aware plan for bright light, blackout, caffeine window, and meal timing.

Rotating or night-shift workers; healthcare, first-responder, transport work.
Open →
Circadian
1p · PDF

Jet Lag Protocol Worksheet

Light is the strongest lever

Direction-specific light, meal, and melatonin timing with a landing-day plan.

Frequent travelers; pre-trip planning; recovery from bad prior jet lag.
Open →
Skills
1p · PDF

Hyperarousal Pre–Wind-Down

Drop arousal first

10-minute arousal-drop stack for wired bodies before the standard wind-down begins.

Anxiety-driven insomnia; ADHD; trauma survivors with evening hyperarousal.
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Taper
1p · PDF

Sleep Medication Taper Support Worksheet

CBT-I supports through the corridor

Behavioral supports through a prescriber-directed sleep-med taper, including rebound-insomnia framing.

Benzo / Z-drug tapers; long-term sleep aid use; prescriber-supported taper plans.
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Frequently asked questions

Is CBT-I really first-line?+

Yes — the American College of Physicians, American Academy of Sleep Medicine, and NICE all recommend CBT-I as first-line treatment for chronic insomnia, ahead of pharmacotherapy.