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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. 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.
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.
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: 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. Put “A” when you drink alcohol. Put “E” when you exercise.
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.
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: (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.
