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Sleep Diary

Document
Sleep-Diary.pdf (3.06 MB)

About the Sleep Diary

Do you have trouble sleeping? Do you feel tired during the day? Many Americans have sleep problems and often don't realize that these problems can be managed. To help identify what may be affecting your ability to get good sleep, record your sleep habits and experiences in this Sleep Diary.

How to Use the Sleep Diary

The Sleep Diary takes only a few minutes each day to complete. Keep it in a convenient place, such as on your bedside table. Complete the diary for 7 days, or copy it and use it for 2 weeks. Then, look over the diary to see if there are any patterns or issues that may be contributing to your sleep problems. Take the completed diary with you to your doctor's office to discuss any sleep problems you may be experiencing.

DOT is committed to ensuring that information is available in appropriate alternative formats to meet the requirements of persons who have a disability. If you require an alternative version of files provided on this page, please contact martin.erb@dot.gov.
Last updated: Wednesday, February 19, 2014