Sleep Test

Name:

What time did you get into bed last night?

Roughly how long did it take you to fall asleep last night? (15 minutes, 30 minutes, 1 hour, 2 hours, etc.)

Roughly how much time did you spend awake in total after you initially fell asleep? (15 minutes, 30 minutes, 1 hour, 2 hours, etc.)

What time did you get out of bed to start the day?

In total, how much time did you spend asleep last night?

How much time did you allot for sleep? (Amount of time between when you got into bed last night and when you got out of bed to start your day today).

Email:

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