Sleep Study Morning Questions

Full name:

Time into bed/tried to sleep:

Approximate time to fall asleep (minutes):

Awakenings:

Time	Reason	Estimated time to fall back asleep (min)

Final wake time:

Time out of bed:

Sleep quality:

Did you experience any of the following? (Check all that apply)

Breathing difficulties/gasping Heartburn/reflux Leg discomfort/movements Headache Excessive sweating Nightmares/vivid dreams

Were there any unusual circumstances affecting your sleep or any technical issues with the recording device?

Did you remove the device at any point? If yes, for how long?

Additional comments or concerns:

Morning Questions