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    My Sleep Diary 2

    Uploaded by

    TATA STEEL
    sdfsadfas

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    My Sleep Diary 2

    Uploaded by

    TATA STEEL
    37 views8 pages
    sdfsadfas

    Original Title

    My-sleep-diary-2

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    © © All Rights Reserved

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    sdfsadfas

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    37 views8 pages

    My Sleep Diary 2

    Uploaded by

    TATA STEEL
    sdfsadfas

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 8

    My sleep diary

    Sleep is important for your health and wellbeing. This sleep


    diary will help you to keep track of your sleeping routine. By
    taking a couple of minutes a day completing the sleep diary
    you’ll be able to note your sleep habits and find out how your
    sleep can be improved.
    Start date Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
    __/__/__

    Day of week: ______ ______ ______ ______ ______ ______ ______

    Your sleep routine


    What time I
    went to bed?
    What time did I
    sleep?
    What helps?
    What I do to
    help myself
    sleep.
    Your bedtime routine
    What do I do
    before I sleep
    eg phone, TV
    computer,
    games console

    How many
    times I woke.

    How long for?

    Was my sleep disturbed?


    What disturbed it eg noise, pets, lights, uncomfortable, stress, temperature
    What did I do
    when I woke?
    Start date Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
    __/__/__

    Day of week: ______ ______ ______ ______ ______ ______ ______

    What time did I


    wake up?
    What time did I
    get out of bed?
    1 – 10, 1 = easy 10 = very difficult
    How much
    effort did it take
    to wake up?

    My notes:
    Start date Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
    __/__/__

    Day of week: ______ ______ ______ ______ ______ ______ ______

    Activity
    During the day
    did I feel
    sleepy?

    Did I have a
    nap? What
    was I doing?

    Time and
    length?

    If I did not nap


    how close was
    I to falling
    asleep?

    What exercise
    do I do? Eg
    physical
    activity

    Time spent
    outside in
    natural light?
    Start date Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
    __/__/__

    Day of week: ______ ______ ______ ______ ______ ______ ______

    Medication
    List
    medication:

    Eating
    Times of:

    Breakfast (B)

    Lunch (L)

    Dinner (D)

    Drinking
    What do I
    drink?

    Your mood
    Throughout the
    day how did I
    feel/what was
    my mood like?

    Useful information
    ◼ Sleep problems – Young Minds
    https://youngminds.org.uk/find-help/feelings-and-
    symptoms/sleep-problems/
    ◼ Sleep tips for teenagers – the NHS website
    https://www.nhs.uk/live-well/sleep-and-tiredness/sleep-tips-for-
    teenagers/

    ◼ Sleeping problems – Cumbria, Northumberland, Tyne and Wear


    NHS Foundation Trust
    https://web.cntw.nhs.uk/selfhelp/#sleeping
    Further information about the content, reference sources or
    production of this leaflet can be obtained from the Patient
    Information Centre. If you would like to tell us what you think about
    this leaflet please get in touch.

    This information can be made available in a range of formats on


    request (eg Braille, audio, larger print, easy read, BSL or other
    languages). Please contact the Patient Information Centre
    Tel: 0191 246 7288

    Published by the Patient Information Centre


    2021 Copyright,
    Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
    Ref, PIC/805/1221 December 2021 V2
    www.cntw.nhs.uk Tel: 0191 246 7288
    Review date 2024

    @cntwnhs CNTWNHS

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