http://needsleep.med.harvard.

edu
My Sleep Diary
Please begin to complete the Sleep Diary on a daily basis. It will provide a tracking of your sleep schedule that you can use to improve your
sleep. You should complete this diary each morning after the previous nights sleep. Do not use it during the night or keep it in your bedroom.
Use it only as a guideline and spend no more than 30 seconds filling it out in the morning.
A resource from the Division of Sleep Medicine
at Harvard Medical School
Produced in partnership with WGBH
Educational Foundation
Sleep Health Centers Adapted with permission.


DAY
(Date)
NAPS
(Duration)
BEDTIME TIME TAKEN TO
FALL ASLEEP
TIME SPENT
ASLEEP
(Hours)
NUMBER OF
AWAKENINGS
DURATION OF
AWAKENINGS
NEXT- DAY
ALERTNESS (110)
10 = most alert
FINAL
WAKE TIME
OUT OF BED
TIME
Mon.
Tues.
Wed.
Thurs.
Fri.
Sat.
Sun.