Consensus Sleep Diary
Daily Sleep Log
Export Data
Import Data
Log Entry
History
Print View
⚠
Warning:
Less than 7 days of history detected (oldest entry:
none
). If you have a previously exported backup, please import it before adding more entries to avoid gaps in your data.
Import Backup
✕
✓
Entry Saved
Date
Total Sleep
Sleep Quality
Rested
Log Another Entry
← Back to History
View History
Print View
Date
Date
Sleep Schedule
1. What time did you get into bed?
2. What time did you try to go to sleep?
3. How long did it take you to fall asleep?
Minutes
4. How many times did you wake up, not counting your final awakening?
Number of times
5. In total, how long did these awakenings last?
Minutes total
Final Awakening
6a. What time was your final awakening?
6b. After your final awakening, how long did you spend in bed trying to sleep?
Minutes
6c. Did you wake up earlier than you planned?
Yes
No
6d. If yes, how much earlier?
Minutes
7. What time did you get out of bed for the day?
Sleep Quality
8. In total, how long did you sleep?
Calculated from: time tried to sleep → final awakening, minus fall-asleep time and awakenings.
9. How would you rate your quality of sleep?
1 – Very poor
2 – Poor
3 – Fair
4 – Good
5 – Very good
10. How rested or refreshed did you feel when you woke up for the day?
0 – Not at all rested
1 – Slightly rested
2 – Somewhat rested
3 – Fairly well rested
4 – Well rested
Naps & Dozing
11a. How many times did you nap or doze?
Number of times
11b. In total, how long did you nap or doze?
Minutes total
Alcohol & Caffeine
12a. How many drinks containing alcohol did you have?
Number of drinks
12b. What time was your last drink?
13a. How many caffeinated drinks did you have?
Number of drinks
13b. What time was your last drink?
Medications & Notes
14. Did you take any over-the-counter or prescription medications to help you sleep? If so, list medications, dose, and time taken.
15. Comments (if applicable)
Save Entry
Clear
Delete Entry
Patient Name
From
To
Update
Print / Save PDF
Consensus Sleep Diary
No entries to display.
Add sleep log entries, then return here to print.