Sleep Diary
If your child has a sleep problem, collect the following information for 3 nights before you make an initial or follow-up appointment. This information will be very useful for designing an appropriate treatment plan.
Morning Awakening (Time):
Nap 1
- Asleep at (time):
- What you did:
- How long your child slept (minutes):
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Nap 2
- Asleep at (time):
- What you did:
- How long your child slept (minutes):
Evening Bedtime
- Asleep at (time):
- How long it took to go to sleep (minutes):
- What you did:
Night Awakening 1
- Awake at (time):
- How long your child was awake (minutes):
- What you did:
Night Awakening 2
- Awake at (time):
- How long your child was awake (minutes):
- What you did:
Written by Barton D. Schmitt, MD, author of “My Child Is Sickâ€, American Academy of Pediatrics Books.
Pediatric Advisor 2012.1 published by RelayHealth.
Last modified: 2006-04-19
Last reviewed: 2010-06-02
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2012 RelayHealth and/or its affiliates. All rights reserved.
