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Be sure to enter your name on your sleep
diary |
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Circle the day of the week and enter the
date in the page provided for each 24 hour period.
Complete one week per diary page.
For example, if you begin on a Wednesday, your first
recording will be Wednesday and your last diary
recording will be the following Tuesday. |
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With a solid box, block each ½ period you
slept without waking for more that 2 minutes. If you
were awake for more than 2 minutes during any ½ period
of rest, do not block in the box for that ½ hour. |
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To figure out the total time asleep for
the day, add up all the fully blocked ½ hour
squares and then record that number at the far left
column under "total hours asleep". |
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Using the behavior codes at the bottom of
the diary page, record the code (s) that best describes
your behavior during each hour of the day. |
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Note and describe any behavior that you
feel was unusually significant, even if it lasted less
than one hour or even less than ½ hour. |
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If a behavior lasts for more than 1 hour
you can enter the behavior code in the box above the
hour and then indicate additional hours that the
behavior lasted by drawing a line in the behavior code
box above the hour (s). |
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If you are using the behavior code
"E" which represents exercise, the
"E" means any activity requiring
strenuous exertion (tennis, dancing, labor, as well as
obvious exercise like jogging, aerobics, weight lifting,
etc). The behavior code "U" indicates upset
and includes markedly unpleasant events. |
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Use a bold diagonal line in each ½ period
when sleepy. |
