This is for p. e!

complete in the morning

start date:
day of the week:
day 1

day 2


i went to be last night at:

/am

/am

i got out of bed this morning at:
/am
/am

last night i fell asleep:
easily
after some time
with difficulty

easily
after some time
with difficulty

i woke up during the night
# of time
#of minutes





last night i slept a total of
hours:
hours:

my sleep was disturbed by: list mental or physical factors including noise, light, pets, allergies, temperature, discomfort, stress

when i woke up for the day, i felt
refreshed

somewhat refreshed

fatigued
refreshed

somewhat refreshed

fatigued