Fibromyalgia Sleep Diary
To solve any problem, you have to identify it first. One reliable way to pinpoint and begin to Cure your Fibromyalgia Sleep disorder is to keep track of each night’s sleep (or lack of it) for about seven days. The easy-to-use sleep diary, offered here, can help you find out if your lifestyle routine during the day, evening, or at bedtime might be contributing to sleep difficulty. Like many individuals with Fibromyalgia symptoms, you may have developed habits that get in the way of a restful sleep, and a cure for fibromyalgia sleep symptoms.
Even if you think you know the cause and nature of your symptoms of sleeplessness, try the sleep diary, you may be surprised by the patterns you uncover, and maybe you can cure your fibromyalgia sleep symptoms.
Each day’s sleep log takes only a few minutes to complete.
1. Print out a blank sleep diary.
2. Answer the first six questions each morning when you awake to start your day.
3. Answer the remaining three questions each night before sleeping.
4. Enter your answers consistently for seven days.
5. Share the completed diary with your physician or health professional.
Sleep Diary – A CURE for FIBROMYALGIA SLEEP Disturbances?
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ANSWER IN THE MORNING AFTER WAKING FOR THE DAY
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At what time did you first go to bed last night?
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Approximately how long did it take you to fall asleep?
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About how many times, if any, did you awaken during the night?
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Overall, about how many hours did you sleep?
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At what time did you wake up (for the last time) this morning?
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In general, how did you feel when you woke up?
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DAY 1
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? Very refreshed
? Somewhat refreshed ? Fatigued |
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DAY 2
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? Very refreshed
? Somewhat refreshed ? Fatigued |
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DAY 3
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? Very refreshed
? Somewhat refreshed ? Fatigued |
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DAY 4
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? Very refreshed
? Somewhat refreshed ? Fatigued |
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DAY 5
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? Very refreshed
? Somewhat refreshed ? Fatigued |
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DAY 6
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? Very refreshed
? Somewhat refreshed ? Fatigued |
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DAY 7
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? Very refreshed
? Somewhat refreshed ? Fatigued |
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ANSWER AT BEDTIME JUST BEFORE YOU GO TO SLEEP
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How much time, if any, did you spend napping during the day?
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Did you consume any of these substances during the day?
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On a scale of one to five, how would you rate your overall functioning during the day?
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DAY 1
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? Caffeine (within 6 hours of bedtime)
? Alcohol (within 1 hour of bedtime) ? Medication (type:_______________) |
? 5 – Energetic
? 4 ? 3 ? 2 ? 1 – Lethargic |
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DAY 2
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? Caffeine (within 6 hours of bedtime)
? Alcohol (within 1 hour of bedtime) ? Medication (type:_______________) |
? 5 – Energetic
? 4 ? 3 ? 2 ? 1 – Lethargic |
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DAY 3
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? Caffeine (within 6 hours of bedtime)
? Alcohol (within 1 hour of bedtime) ? Medication (type:_______________) |
? 5 – Energetic
? 4 ? 3 ? 2 ? 1 – Lethargic |
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DAY 4
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? Caffeine (within 6 hours of bedtime)
? Alcohol (within 1 hour of bedtime) ? Medication (type:_______________) |
? 5 – Energetic
? 4 ? 3 ? 2 ? 1 – Lethargic |
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DAY 5
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? Caffeine (within 6 hours of bedtime)
? Alcohol (within 1 hour of bedtime) ? Medication (type:_______________) |
? 5 – Energetic
? 4 ? 3 ? 2 ? 1 – Lethargic |
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DAY 6
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? Caffeine (within 6 hours of bedtime)
? Alcohol (within 1 hour of bedtime) ? Medication (type:_______________) |
? 5 – Energetic
? 4 ? 3 ? 2 ? 1 – Lethargic |
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DAY 7
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? Caffeine (within 6 hours of bedtime)
? Alcohol (within 1 hour of bedtime) ? Medication (type:_______________) |
? 5 – Energetic
? 4 ? 3 ? 2 ? 1 – Lethargic |
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