Professional Documents
Culture Documents
Sleep Log
Sleep Log
Sample
Today’s date Mon Calculated
1/1/12 Averages
1. What time did you
get into bed? 10:30 p.m.
8. Sleep Efficiency
(Time Asleep ÷ Time 65%
in Bed)
9. How would you □ Very poor □ Very poor □ Very poor □ Very poor □ Very poor □ Very poor □ Very poor □ Very poor
rate the quality of your Poor □Poor □Poor □Poor □Poor □Poor □Poor □Poor
sleep? □ Fair □ Fair □ Fair □ Fair □ Fair □ Fair □ Fair □ Fair
□ Good □ Good □ Good □ Good □ Good □ Good □ Good □ Good
□ Very good □ Very good □ Very good □ Very good □ Very good □ Very good □ Very good □ Very good
10. In total, how long 45 min
did you nap or doze
yesterday?
11. Comments
I have a cold
(if applicable)
Didn’t wear c-
pap
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