Weekly Sleep Log
Name
First Name
Last Name
Weekly Sleep Log Table
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Date
What Time did you go to bed?
What time did you turn the lights out to go to sleep?
About how long did it take you to fall asleep?
How many times did you wake up last night?
About how long were you awake during the night? (Total time)
What was your final wake up time this morning?
What time did you get out of bed?
About how many hours did you sleep last night?
Sleep medications used (name/dose)
Record your Negative and Positive Sleep Thoughts (NSTs & PSTs)
Date
Negative Sleep Thoughts (NSTs)
Positive Sleep Thoughts (PSTs)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Weekly Goals
Goals
1
2
3
4
5
Submit
Should be Empty: