To help determine if a self-guided cognitive behavioural therapy program for insomnia is best for you, we need to determine if there are other environmental or physical health factors that may be impacting your sleep.

Do you have a job that requires you to work rotating shifts which impacts your ability to have a consistent sleep schedule?

Yes

Do you have restless legs that bother you when you try to fall asleep?

Yes

Do you consume more than 12 alcoholic beverages per week?

Yes

Do you have a tendency to experience falls?

Yes

Do you experience persistent periods of feeling high, sped up or not needing sleep?

Yes

Are you currently in a mental health crisis or having thoughts of suicide?

Yes

If you are in crisis, in need of immediate assistance or are experiencing thoughts of suicide, please do one of the following:

Call 911 or your local emergency services
Contact Klinic Crisis Line at 204-786-8686 or at 1-888-322-3019
Go to the emergency ward of your local hospital

Do you have an uncontrolled seizure disorder?

Yes

Do you experience parasomnia (acting out your dreams, sleep walking, talking in your sleep)?

Yes

Have you (or anyone else) observed that you snore loudly or stop breathing during your sleep?

Yes

You appear to be an excellent candidate for cognitive behavioural therapy (CBT) for insomnia.

Let's determine if you're eligible to complete the internet-based, self-guided CBT program.

Are you age 18 or older?

Yes

Are you a resident of Manitoba or Alberta?

Yes

It does not appear that you are experiencing difficulties with your sleep.
Would you like to continue with the assessment?

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Sleep Assessment

Based on your answers, your sleep difficulties may arise from potential medical and/or environmental conditions. We recommend booking a sleep consultation.

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You appear to be an excellent candidate for cognitive behavioural therapy for insomnia. You may access this treatment option through our counselling services, as part of your Manitoba Blue Cross employee or individual assistance program coverage.

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You must be at least 18 years of age to book a counselling session online. Please call us at 204.786.8880 or toll free at 1.800.590.5553 to book a counselling session. For the Deaf, hard-of-hearing and speech-impaired community, we can receive VRS calls.

You appear to be an excellent candidate for cognitive behavioural therapy for insomnia. You may access this treatment option through our counselling services at no additional cost as part of your Manitoba Blue Cross wellness plan benefits.

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You appear to be an excellent candidate for cognitive behavioural therapy (CBT) for insomnia. Access one of the following two options at no additional cost as part of your Manitoba Blue Cross employee or individual assistance program coverage:

Experience an internet-based, self-guided CBT program or work directly with a matched therapist through our virtual partner MindBeacon.

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Access CBT for insomnia through our counselling services, including in-person, online video, telephone or email appointment options.

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You appear to be an excellent candidate for cognitive behavioural therapy for insomnia through our partner RestEd. Learn how to identify and change thoughts and behaviours that may lead to sleeplessness with this six-week internet-based, self-guided program.

Access RestEd arrow_forward

Based on your answers, your sleep difficulties may arise from potential medical and/or environmental conditions. We recommend the following two options:

Book an appointment with your doctor to discuss your answers from the previous pages of this assessment and get support for a more restful sleep.

Exit assessment

Purchase our wellness plan to access personalized strategies such as a sleep consultation, in-home sleep study or a cognitive behavioural therapy program appropriate for your circumstances.

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You appear to be an excellent candidate for cognitive behavioural therapy for insomnia. We recommend the following two options:

Access this treatment through a health care provider in the community. Coverage may be available within personal or group health benefits plans.

Exit assessment

Purchase our wellness plan and gain direct access to cognitive behavioural therapy to help learn how to identify and change thoughts and behaviours that may lead to sleeplessness.

Learn more arrow_forward

You appear to be an excellent candidate for cognitive behavioural therapy (CBT) for insomnia through our partner MindBeacon. Access an internet-based program or work directly with a matched therapist through a guided CBT program.

Access MindBeacon arrow_forward

Request a sleep consultation

A sleep consultation includes a 15 to 20-minute phone call with one of Manitoba Blue Cross’s sleep consultants to review how potential medical and/or environmental conditions may be impacting your sleep. Following this consultation, personalized treatment recommendations will be created for you.

These services are offered at no additional cost to you as part of your wellness benefit plan.

About You

All fields are required unless otherwise indicated.

First name

John

Last name

Doe

Phone number

We respect your privacy and will ensure discretion when communicating with you. You can learn more about this in our privacy policy.

Your responses to the previous set of questions will be included with this form so we can better assist you.

Do you have a job that requires you to work rotating shifts which impacts your ability to have a consistent sleep schedule?

Yes

arrow_back Go back Submit request

Thank you for submitting you request for a consultation

Confirmation of your request will be sent to you by email from Manitoba Blue Cross.

If you do not receive an email within one business day, please check your spam folder or call our Employee Assistance intake line at 204.786.8880 or toll free at 1.800.590.5553. For the Deaf, hard-of-hearing and speech-impaired community, we can receive VRS calls.

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Request an appointment

Cognitive behavioural therapy for insomnia through our counselling services includes online video sessions, which are one hour in length. The number of sessions required to treat insomnia will vary based on your individual needs.

About You

All fields are required unless otherwise indicated.

First name

John

Last name

Doe

Phone number

We respect your privacy and will ensure discretion when communicating with you. You can learn more about this in our privacy policy.

Your responses to the previous set of questions will be included with this form so we can better assist you.

Are you age 18 or older?

Yes

arrow_back Go back Submit request

Thank you for submitting your request to access cognitive behavioural therapy for insomnia through our counselling services.

Return to Dashboard

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Thank you! Your submission has been received!

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How is Your Sleep Hygiene?

Sleep hygiene refers to habits or factors that may promote sleeping well.

Sleep Journey

Sleep assessment

Sleep Assessment

Sleep Assessment

Request a sleep consultation

About You

Thank you for submitting you request for a consultation

Request an appointment

About You

Thank you for submitting your request to access cognitive behavioural therapy for insomnia through our counselling services.

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