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  • Sleep Log: SUN MON Tues WED Thurs FRI SAT

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    Sahar Malik
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    The document is a sleep log that collects information about an individual's sleep patterns over the course of a week. It asks questions about napping, caffeine/alcohol/nicotine consumption after 6pm, exercise, heavy meals after 6pm, sleep medication use, daytime sleepiness, bedtime, wake time, total sleep hours, night wakings, sleep quality, and whether enough sleep was achieved. The log is meant to be filled out daily for a week to gain insight into sleep habits and potential disruptors of quality sleep.

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    SleepFoundation_SleepLog

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    The document is a sleep log that collects information about an individual's sleep patterns over the course of a week. It asks questions about napping, caffeine/alcohol/nicotine consumption after 6pm, exercise, heavy meals after 6pm, sleep medication use, daytime sleepiness, bedtime, wake time, total sleep hours, night wakings, sleep quality, and whether enough sleep was achieved. The log is meant to be filled out daily for a week to gain insight into sleep habits and potential disruptors of quality sleep.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    6 views1 page

    Sleep Log: SUN MON Tues WED Thurs FRI SAT

    Uploaded by

    Sahar Malik
    The document is a sleep log that collects information about an individual's sleep patterns over the course of a week. It asks questions about napping, caffeine/alcohol/nicotine consumption after 6pm, exercise, heavy meals after 6pm, sleep medication use, daytime sleepiness, bedtime, wake time, total sleep hours, night wakings, sleep quality, and whether enough sleep was achieved. The log is meant to be filled out daily for a week to gain insight into sleep habits and potential disruptors of quality sleep.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    SleepFoundation

    Sleep Log Please fill this out for the previous day and night no more than 3 hours after waking.
    The information can be an estimate when necessary. A OneCare Media Company

    NAME WEEK OF

    DAY SUN MON TUES WED THURS FRI SAT

    Did you nap? Yes No Yes No Yes No Yes No Yes No Yes No Yes No

    For how long? mins. mins. mins. mins. mins. mins. mins.

    At what time?

    Did you have any caffeine* after 6pm? Yes No Yes No Yes No Yes No Yes No Yes No Yes No

    Did you drink alcohol after 6pm? Yes No Yes No Yes No Yes No Yes No Yes No Yes No

    Did you use nicotine after 6pm? Yes No Yes No Yes No Yes No Yes No Yes No Yes No

    Did you exercise? Yes No Yes No Yes No Yes No Yes No Yes No Yes No

    Did you eat a heavy meal or snack after 6pm? Yes No Yes No Yes No Yes No Yes No Yes No Yes No

    Did you take any sleeping medication Yes No Yes No Yes No Yes No Yes No Yes No Yes No

    What medication?

    Amount

    At what time?

    Were you sleepy during the day? Yes No Yes No Yes No Yes No Yes No Yes No Yes No

    NIGHT
    What time did you turn off the lights
    to go to sleep?

    What time did you wake up?

    How many total hours did you sleep?

    How many times did you wake up in the night?

    Rate the quality of your sleep:

    Do you feel you got enough sleep?

    * Caffeine = coffee, tea, caffeinated soda, chocolate, energy drinks, certain medications.

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