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Sleep Diary

This sleep diary can be used to accurately track sleep patterns over multiple nights. It includes sections to log naps, caffeine and substance intake, medications, pre-bed activities, sleep onset times, number and duration of wakeups, total sleep time, and restfulness upon waking. Keeping this diary can help identify areas for improved sleep hygiene and check assumptions about poor sleep that may not be accurate.

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spurthi_16
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179 views1 page

Sleep Diary

This sleep diary can be used to accurately track sleep patterns over multiple nights. It includes sections to log naps, caffeine and substance intake, medications, pre-bed activities, sleep onset times, number and duration of wakeups, total sleep time, and restfulness upon waking. Keeping this diary can help identify areas for improved sleep hygiene and check assumptions about poor sleep that may not be accurate.

Uploaded by

spurthi_16
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SLEEP DIARY Use this sleep diary to make an accurate assessment of how much you sleep and other

factors associated with your sleep. This will help you to identify patterns and areas for
improving sleep hygiene. Also, many people who struggle with sleep difficulties make
negative assumptions about their sleep (e.g. “I never sleep more than 5 hours a night”) and this
worksheet can help you to check if this is really the case.

Pre-sleep information Bed/sleep pattern


Day/Date Naps (what Caffeine, Medication Pre-bed Day fatigue Tension in In-bed Lights out Time to fall Wakin Hours slept Woke up? Rest score
time & how alcohol, nico- (day total & activity level (0-5, 5 bed (0-5, 5 activities (time) asleep g (number of (0-5, 5
long?) tine? (day before bed) (what did most tired) most tense) (minutes) time times, how most rest-
total & 4 hrs you do?) long) ed)
before bed)

Example: 2pm, 40 2 coffees, 1 Nil. watched TV 3 - felt a bit 4 - felt very Read for 1 10:30pm 40 min 5:10am 6 hrs 40 Once at 3 - felt
minutes beer, nothing after dinner, 3 tired today tense when I hour min 2am, back somewhat
after 4pm hours went to bed to sleep rested when I
after 20 woke up
minutes

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