You will maintain a Sleep Log for the first week of the course in preparation for studying the role of sleep in health promotion during Module 2.

You will maintain a Sleep Log for the first week of the course in preparation for studying the role of sleep in health promotion during Module 2. This document enables you to record how much sleep you get in each 24-hour period and your “sleepiness factor” when you are awake.

 

Example of input for Nighttime Sleep Total (hrs:min) – 7:25 (means you slept for 7 hours and 25 minutes)

 

Objective: 

 

•             Analyze personal sleep patterns.

 

 

 

MON

 

TUES

 

WED

 

THURS

 

FRI

 

SAT

 

SUN

 

 

 

 

 

Sleep Log

 

In each box indicate the amount of time that you slept. Include naps. Totals should then be listed in the corresponding box below.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Morning   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Afternoon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Evening

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Night

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sleep hours total

 

hrs:min (or 0)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Napping sleep time total

 

hrs:min (or 0)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sleep hours + Napping hours = Total Sleep Hourshrs:min

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Difficulty staying awake

 

0 = Not at all

 

1 = Occasionally

 

2 = Frequently

 

3 = Most of the time

 

S = Falling asleep/sleeping

 

(You should put an S in the box that corresponds with the S in the box in the above section to indicate when you slept.)

 

 Morning   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Afternoon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Evening

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Night

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Meal times (M) and Snack times (S)

 

Enter all your meal and snack times

 

 

 

Ex) 0830 (M); 1315 (S); 1700 (M)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Medication that could cause drowsiness (Y or N)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unusual circumstances that may have affected sleep(Y or N) If yes, please briefly explain