Sleep Journal
Topic Overview
Fill out this sleep journal every morning for 1 to 2 weeks. It can help you see what gets in the way of a good night's sleep. It could also help your doctor know more about what affects your sleep.
Day | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
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What time did you go to bed last night? | |||||||
How long did it take to fall asleep? | |||||||
What time did you get up? | |||||||
Did you wake up during your sleep time? How many times? For how long? Did you get out of bed? | |||||||
How much total sleep did you get? | |||||||
How tired do you feel, on a scale of 1 to 5? (Very tired = 5) | |||||||
Overall, how tired did you feel yesterday, on a scale of 1 to 5? (Very tired = 5) | |||||||
How unusual or stressful was your day yesterday, on a scale of 1 to 5? (Very unusual or stressful = 5) | |||||||
What did you do during the 30 minutes before bed? | |||||||
Yesterday, did you: Take any naps? How long? When? | |||||||
Yesterday, did you: Drink alcohol? How much? | |||||||
Yesterday, did you: Have any caffeine? How much? When? | |||||||
Yesterday, did you: Do any physical activity? What? When? | |||||||
Yesterday, did you: Eat big or spicy meals? What? When? | |||||||
Yesterday, did you: Take any medicines, including over-the-counter or herbal ones? What? When? |
Credits
Current as of: January 31, 2020
Author: Healthwise Staff
Medical Review: Kathleen Romito MD - Family Medicine
Adam Husney MD - Family Medicine
Lisa S. Weinstock MD - Psychiatry
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Credits
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Topic Overview - Top of the page
Current as of: January 31, 2020
Author: Healthwise Staff
Medical Review: Kathleen Romito MD - Family Medicine & Adam Husney MD - Family Medicine & Lisa S. Weinstock MD - Psychiatry