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TWO WEEK SLEEP DIARY INSTRUCTIONS: (1) Write the date, day of the week, and type of day: Work, School, Day Off, or Vacation. (2) Put the letter “C” in the box when you have coffee, cola or tea. Put “M” when you take any medicine. Put “A” when you drink alcohol. Put “E” when you exercise.
Stanford Sleep Health and Insomnia Program: Two Week Sleep Diary Adapted from the American Academy of Sleep Medicine. Write the date, day of the week, and type of day: Work, School, Day Off, or Vacation. Put the letter “M” in the box when you take any relevant medication.
INSTRUCTIONS: TWO WEEK SLEEP DIARY 1. Write the date, day of the week, and type of day: Work, School, Day Off, or Vacation. 2. Put the letter “C” in the box when you have coffee, cola or tea. Put “M” when you take any medicine. Put “A” when you drink alcohol. Put “E” when you exercise. 3. Put a line (l) to show when you go to bed.
TWO WEEK SLEEP DIARY. Write the date, day of the week and type of day: (W)ork, (S)chool, (O)ff or (V)acation. Put the letter “C” in the box when you have any caffeinated beverage or supplement that includes caffeine. Put “M” when you take ANY Medication.
TWO WEEK SLEEP DIARY Adapted from the American Academy of Sleep Medicine INSTRUCTIONS: 1. Write the date, day of the week, and type of day: Work, School, Day off, or Vacation. 2. Put the letter “C” in the box when you have coffee, cola, or tea. Put “M” when you take any medicine. Put “A” when you drink alcohol. Put “E” when you
Sleep Diary AASM. TWO WEEK SLEEP DIARY INSTRUCTIONS: sleep bli Diagnostic Lab D American Academy of SLEEP (1) Write the date, day of the week, and type of day: Work, School, Day Off, or Vacation. (2) Put the letter "C" in the box when you have coffee, cola or tea. Put "M" when you take any medicine. Put "A" when you drink alcohol.
TWO WEEK SLEEP DIARY INSTRUCTIONS: 1. Write the date, day of the week, and type of day: Work, School, Day Off, Vacation, Sleep over etc. 1. Put the letter “C” in the box when you have coffee, cola, tea, chocolate milk, energy drinks. Put “M” when you take any medicine. Put “E” when you exercise. 2. Use “ ” to show when you go to ...
