Thursday, December 06, 2012
What time did you wake up today?
6:45 and 12:00
What time are you lying down to go to sleep?
What, if any, was your bedtime routine?
read before sleep
What were the last food(s) you consumed tonight? (Include type, amount, and time you ate.)
scrambled eggs with tomato
Did you exercise today? (Include the type, duration, and time of day if you exercised.)
elliptical - 35 minutes, strength training - 50 minutes, crunches - 10 minutes, started at 11:00 pm
Did you consume any alcoholic beverages today? (Include type, number, and time of day.)
Did you consume any caffeinated drinks or foods today? (Include type, number, and time of day.)
Did you take any medications (prescription and/or over-the-counter) today? (Include type, amount, and time of day.)
Did you take any naps today? (Include number of naps, duration of each, and time of day.)
What types of stressors did you encounter today, and what types do you expect to encounter tomorrow?
How hungry did you feel today? (1- Not hungry, 2- Normal hunger, 3- Strong hunger, 4- Extreme hunger)
How awake did you feel today? (1- Exhausted, 2- Somewhat tired, 3- Fairly alert, 4- Wide awake)
How irritable did you feel today? (1- Calm, 2- Slightly annoyed, 3- Moderately irritable, 4- Highly irritable)
Next, draw a line of Zzz's across the page beneath your answers to these questions.
When you wake up, answer the following questions below your "sleep" line:
How long did it take you to fall asleep last night? (This may be an estimate.)
How many times did you wake up during the night? (Include times you woke up and how long you stayed awake.)
In total, how many hours did you sleep last night?