Table 1.
Assessment |
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Sleep schedule What time do you usually get into bed? |
What time do you usually try to fall asleep? |
What time do you usually wake up? |
What time do you get out of bed? |
Are these times consistent each day? |
How many hours of sleep do you get each day? |
Would you prefer your bedtime/waketime at later or earlier times than those listed above? If so, when would you prefer? |
Sleep Habits/Hygiene |
Do you take any sleep aids? |
If so, how many times each week do you use a sleep aid? |
Do you take naps? |
If so, how many times each week and how long do your naps usually last? |
Do you drink caffeinated beverages every day? |
If so, how many times each day and when is your last cup? |
Do you drink alcoholic beverages at night? |
If so, how many drinks do you consume? |
Do you smoke cigarettes or other‐containing nicotine products in the evening? |
Is your bedroom environment dark and quiet? |