For those who suffer from sleeping problems, it’s sometimes helpful to keep a sleep diary as this can help medical professionals identify not only sleep problems but other health problems. Although this diary is for one week, you can print more than one copy if needed.
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.
The sleep diary
Your Name__________________________________ The date of Day 1_______________
| Enter the Weekday (Mon, Tues, Wed, etc.) | Day 1 | Day 2 | Day 3 | Day 4 | Day 5 | Day 6 | Day 7 | |
| 1 | At what time, did you go to bed last night? | |||||||
| 2 | After settling down, how long did it take you to fall asleep? | |||||||
| 3 | After falling asleep, about how many times did you wake up in the night? | |||||||
| 4 | After falling asleep, for how long were you awake during the night in total? | |||||||
| 5 | At what time, did you finally wake up? | |||||||
| 6 | At what time, did you get up? | |||||||
| 7 | How long did you spend in bed last night (from first getting in, to finally getting up) | |||||||
| 8 | How would you rate the quality of your sleep last night? 1 2 3 4 5 V. Poor V. Good |
Click here to print the image above
Source: NHS website.[1]
References
[1]NHS, Sleep Diary, Http://Www.Nhs.Uk/Livewell/Insomnia/Documents/Sleepdiary.Pdf
(Accessed on November 20, 2016)
