Week of:

Mon

Tue

Wed

Thu

Fri

Sat

Sun

No caffeine within 2* hrs of bedtime

No alcohol within 2* hrs of bedtime

No smoking within 2* hrs of bedtime

Exercise at least 2* hrs before bedtime

Woke up on time (aim for same routine each day)

Went to bed on time (aim for same routine each night)

No naps during the day

Not hungry when going to bed

No heavy meals within 2* hrs of bedtime

Got out of bed when awake for more than 30 minutes

Other Strategy (describe):

Other Strategy (describe):

Sleep Quality

Choose a number between 0 and 10
0 = didn't get any sleep at all
10 = no sleep problems and awoke fully rested