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_l _--_t __J I J

Did youake anyfting


to help you fall asleep? lf so,what?
Badtime (fmawlrenyou goto bedl
*Ses bslow

'limsto falla8losp d5 min.

T,@ltima slapt

T;OOAM

did you fssl on


ff$ee below

csM IN THE EVENING


Did you taka a nap(s)? r$0 PMll0
(Time/duration) s:00 FMt[0 min,

6:00 FM
2

0ld y.su snnaurn$ eaffeinp? S:004M/4


(cofre,tea, eto.l
(Time/number of drinksl I:00 FM/Z

fiow did you feel at mid-day?


r*See helow

[.low did'you feel in the lato afternoon?


ESee below

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