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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.
The Two Week Sleep Diary Form is used to track and record your sleep patterns and habits over a period of two weeks. It helps in observing and analyzing your sleep quality, duration, and any potential issues or patterns that might affect your sleep.
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. 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.
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.
TWO WEEK SLEEP DIARY 1. Write the date, day of week, and type of day - Work. School. Vacation. Day Off. 2. Put the letter “C” in the box when you have coffee, soda, tea; “M” when you take medicine; “E” when you exercise. 3. Put a when you go to bed. Shade in the box that shows you when you think you fell asleep. 4.
