TWO WEEK SLEEP DIARY INSTRUCTIONS |
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| 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 | ||||||||||||||||
| 3 | Put “M” when you take any medicine | ||||||||||||||||
| 4 | Put a line (l) to show when you go to bed | ||||||||||||||||
| 5 | Shade the box that shows when you think you fell asleep | ||||||||||||||||
| 6 | Leave boxes unshaded to show when you wake up at night | ||||||||||||||||
| and when you are awake during the day. | |||||||||||||||||
| 7 | On a Monday when I worked, I jogged on my lunch break at 1 PM | ||||||||||||||||
| had a glass of wine with dinner at 6 PM | |||||||||||||||||
| fell asleep watching TV from 7 to 8 PM | |||||||||||||||||
| went to bed at 11PM | |||||||||||||||||
| fell asleep around Midnight | |||||||||||||||||
| woke up and couldn’t get back to sleep at about 4 AM | |||||||||||||||||
| went back to sleep from 5 to 7 AM | |||||||||||||||||
| had coffee and medicine at 7:00 in the morning | |||||||||||||||||
| Week 1 | Week 2 | ||||||||||||||||
| Mon | Tue | Wed | Thu | Fri | Sat | Sun | Mon | Tue | Wed | Thu | Fri | Sat | Sun | ||||
| Today’s Date | |||||||||||||||||
| Day of the week | |||||||||||||||||
| Type of Day | |||||||||||||||||
| Noon | |||||||||||||||||
| 1 PM | |||||||||||||||||
| 2 PM | |||||||||||||||||
| 3 PM | |||||||||||||||||
| 4 PM | |||||||||||||||||
| 5 PM | |||||||||||||||||
| 6 PM | |||||||||||||||||
| 7 PM | |||||||||||||||||
| 8 PM | |||||||||||||||||
| 9 PM | |||||||||||||||||
| 10 PM | |||||||||||||||||
| 11 PM | |||||||||||||||||
| Midnight | |||||||||||||||||
| 1 AM | |||||||||||||||||
| 2 AM | |||||||||||||||||
| 3 AM | |||||||||||||||||
| 4 AM | |||||||||||||||||
| 5 AM | |||||||||||||||||
| 6 AM | |||||||||||||||||
| 7 AM | |||||||||||||||||
| 8 AM | |||||||||||||||||
| 9 AM | |||||||||||||||||
| 10 AM | |||||||||||||||||
| 11 AM | |||||||||||||||||
Sleep Diary
Mon, Jul 13, 2009
adwokat
alkoholizmu
bluzki
c. Insomnia
części samochodowe
dj
dom
fotografia
komputerowy
kraków
kredyt
kredyty
kursy kosmetyczne
leczenie
moda
noclegi
nocowanie
odzież
ogłoszenia
opel
paznokcie
pozyczki
pożyczka
pożyczka bez bik
pożyczki bez zdolności
pożyczki gotówkowe
pożyczki pozabankowe
prawnik
REM Sleep
rzeszów
serwis
serwis komputerowy kraków
sleep
Sleep Apnea
Sleep Deprivation
sleep disorder
sukienka
trojmiasto
tunika
tuniki|sukienki
uzależnienia
warszawa
wisła
wodzirej
ślubna
Asides 
-
Sleep Treatment
Sleep Apnea Treatment – How To Overcome Snoring And Sleep Apnea (0.000494003 MB)Breakthrough Sleep Apnea Treatment Allows Anyone To Cure Their Snoring and Sleep Apnea Problems———- Other than th……
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Natural Cures For Insomnia (0.197722 MB)“How Would You Love To Finally Get A Decent Night’s Sleep?” Do you toss and turn all night long without getting much of a wink of sleep? Are you tired ……
2.95 USD
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