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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.
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.
Using this sleep diary takes just a few minutes each day. To get the most out of it: • Use your sleep diary every day for two weeks (or for as long as recommended by your healthcare professional). • Keep it near where you sleep, such as on a bedside table. Don’t forget a pen or pencil.
TWO WEEK SLEEP DIARY. INSTRUCTIONS: Write the date, day or 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. 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. Instructions. 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.
This file provides a detailed two-week sleep diary template to track sleep patterns and related activities. Users can log coffee, medication, and exercise to analyze sleep quality. It's perfect for anyone looking to improve their sleep schedule. Get Sleep Diary Form.
TWO WEEK SLEEP DIARY. INSTRUCTIONS: (1) Write the date, day of the week, and type of day: Work, School, Day Off, or Vacation. Put “M” when you take any medicine. Put “A” when you drink alcohol. Put “E” when you exercise. (2) Put the letter “C” in the box when you have coffee, cola or tea.
