Sleep Diary


Patient Instructions:


"UP TO 1/3 OF YOUR TIME IS SPENT SLEEPING – BUT IT EFFECTS 100% OF YOUR LIFE"


Problem with sleep can last a few days or several years. Some sleep problems are caused by things like everyday stress, age, work schedules; other are caused by underlying medical problems. Simple sleep disturbances may be corrected with good sleep behaviors, whereas medical problems require treatment by a doctor.

In order for your physician to properly identify your sleep problems he or she needs to review your sleep habits. One of the best ways to provide this information is by completing a sleep diary.

Following is a 14 day sleep diary for you to complete. The questions to be answered in the morning are about the quality and timing of your sleep. The evening question relate to how you felt throughout the day. An example column is provided to assist you in getting scarred,

This sleep diary is simple and easy to use. The information it provides is very valuable in identifying your particular sleep problems & begin the journey to sleep well…live well.