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  • Sleep Diary Adult Free Printable Medical Forms - Guthriemainstream

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Sleep Diary Name: Diary started on: / Birth Date: / Remarks / Notes: / / Physician: Medications used: Day 6 7 8 9 Midnight 10 11 12 1 2 3 4 5 6 7 8 9 10 Noon 11 12 1 2 3 4 5 Instructions: In the table.

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Print and use this sleep diary to record the quality and quantity of your sleep; your use of medicines, alcohol, and caffeinated drinks; and how sleepy you feel during the day. You can then bring the diary with you to review the information with your doctor.

A sleep diary seems to be a reliable tool for assessing adult sleep time, especially when used for a period of at least seven consecutive days including weekends.

Complete the diary each morning (“Day 1” will be your first morning). Don't worry too much about giving exact answers, an estimate will do. At what time did you go to bed last night? After settling down, how long did it take you to fall asleep?

Although not all sleep diaries are identical, they commonly include details about: Bedtime. Wake-up time. How long it takes to fall asleep. The number and duration of sleep interruptions. The number and duration of daytime naps. Perceived sleep quality. Consumption of alcohol, caffeine, and tobacco. Daily medications.

3 hours before bed: No more food or alcohol. 2 hours before bed: No more work. 1 hour before bed: No more screen time (shut off all phones, TVs and computers). 0: The number of times you'll need to hit snooze in the AM.

What to Write in Your Sleep Diary What time did you get into bed? How long did it take you to fall asleep? How many times did you wake up? How long did you stay awake each time? What time did you wake up for good? How well do you think you slept? How many times did you nap during the day?

Although not all sleep diaries are identical, they commonly include details about: Bedtime. Wake-up time. How long it takes to fall asleep. The number and duration of sleep interruptions. The number and duration of daytime naps. Perceived sleep quality. Consumption of alcohol, caffeine, and tobacco. Daily medications.

The sleep diary is the accepted standard for self-reported sleep duration, as it elicits detailed “real time” (not recalled) information on daily sleep duration and timing over a specified time period.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232