Sleep and Dreaming Record Name___________________
Day 1 (12/6-12/7)
Total sleep time__________ (hrs/mins) # of Awakenings (before up for good)______
On the line below, indicate your sleep periods, including naps:
8pm 10 12am 2 4 6 8 10 12pm 2 4 6 8
Rate the quality of your night’s sleep: 0 (bad) to 10 (good) ___________
How many dreams can you recall at least a fragment of?______________
Describe any memorable dreams:
Day 2 (12/7-12/8)
Total sleep time__________ (hrs/mins) # of Awakenings (before up for good)______
On the line below, indicate your sleep periods, including naps:
8pm 10 12am 2 4 6 8 10 12pm 2 4 6 8
Rate the quality of your night’s sleep: 0 (bad) to 10 (good) ___________
How many dreams can you recall at least a fragment of?______________
Describe any memorable dreams:
Day 3 (12/8-12/9)
Total sleep time__________ (hrs/mins) # of Awakenings (before up for good)______
On the line below, indicate your sleep periods, including naps:
8pm 10 12am 2 4 6 8 10 12pm 2 4 6 8
Rate the quality of your night’s sleep: 0 (bad) to 10 (good) ___________
How many dreams can you recall at least a fragment of?______________
Describe any memorable dreams:
Day 4 (12/9-12/10)
Total sleep time__________ (hrs/mins) # of Awakenings (before up for good)______
On the line below, indicate your sleep periods, including naps:
8pm 10 12am 2 4 6 8 10 12pm 2 4 6 8
Rate the quality of your night’s sleep: 0 (bad) to 10 (good) ___________
How many dreams can you recall at least a fragment of?______________
Describe any memorable dreams:
Day 5 (12/10-12/11)
Total sleep time__________ (hrs/mins) # of Awakenings (before up for good)______
On the line below, indicate your sleep periods, including naps:
8pm 10 12am 2 4 6 8 10 12pm 2 4 6 8
Rate the quality of your night’s sleep: 0 (bad) to 10 (good) ___________
How many dreams can you recall at least a fragment of?______________
Describe any memorable dreams:
Day 6 (12/11-12/12)
Total sleep time__________ (hrs/mins) # of Awakenings (before up for good)______
On the line below, indicate your sleep periods, including naps:
8pm 10 12am 2 4 6 8 10 12pm 2 4 6 8
Rate the quality of your night’s sleep: 0 (bad) to 10 (good) ___________
How many dreams can you recall at least a fragment of?______________
Describe any memorable dreams: