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Sleep Diary Entries


Date Total time in bed Total time asleep Sleep Efficiency

Sleep Prescription


Earliest Bedtime Maximum Time
Allowed in Bed:
Final Wake Time Out of Bed Time Last Week's
Sleep Efficiency
Date:
-

How long did you nap or doze yesterday?
-
What time did you get into bed?
-
What time did you try to go to sleep?
-
How long did it actually take you to fall asleep?
-
How many times did you wake up during the night
-
In total, how long did these awakenings last?
-
What time was your final awakening?
-
When did you get out of bed to start your day?
-
How much earlier did you wake up than expected?
-
Sleep Quality:
-

Calculated Results


Goal
Total time in bed trying to sleep
-
Pre-Sleep Time in Bed
-
< 30‑Minutes
Post-Sleep Time in Bed (Snooze Time)
-
~ 15‑Minutes
Total Wake Time
-
Total Sleep Time
-
Total Sleep Time- Including Naps
-
Sleep Efficiency (M)
-
85%
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