Instructions |
Please describe three good things that happened to you in the past 24 hours: |
Please describe the nature of your sleep over the past 24 hours: |
Question 1 |
Description of the first good thing that happened in the past 24 hours. |
In the past 24 hours, please describe exactly when and where you dozed off, fell asleep, napped, or slept for any length of time. |
Question 2 |
What was its cause? (What made this happen?) |
If you engaged in any kind of exercise, including light exercise, in the past 24 hours, what did you do? When during the day did you exercise? |
Question 3 |
Description of the second good thing that happened in the past 24 hours. |
During the past 24 hours, what kinds of caffeinated products (coffee, tea, soda, chocolate) did you have, if any, and about how much of each did you have? |
Question 4 |
What was its cause? (What made this happen?) |
While you were sleeping at any time over the past 24 hours, was anything on (computers, lights, TV, stereo)? If so, what was on while you were sleeping? |
Question 5 |
Description of the third good thing that happened in the past 24 hours. |
Please describe what you were doing in the hour before you last fell asleep. |
Question 6 |
What was its cause? (What made this happen?) |
Please describe what you did in the first hour after your final awakening. |