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1 | Item instructions: |
2 | Q1. What time did you go to bed? Write the time you got into bed. Ex. 10:00 pm |
3 | Q2. What time did you try to go to sleep? Record the time that you began to try to fall asleep AFTER you went into bed. Ex. 10:30 pm. |
4 | Q3. What time did you fall asleep? Estimate the time you fell asleep AFTER you went into bed. Ex. 12:00 am. This time must be at least 1 minute after Time To Bed (Q1) |
5 | Q4. How many times did you wake up during the night? Record your answer. Ex. 3 |
6 | Q5. In total, how long did these awakenings last? Sum up the amount of time you were awake through the night in total minutes. Ex. 20 + 30 + 40 = 90 min |
7 | Q6. What time was your final awakening? Indicate the last time you woke up in the morning and remained awake. Ex. 6:00 am |
8 | Q7. What time did you get out of bed to start your day? Indicate the time you got out and stayed out of bed after your final awakening. Ex. 7:00 am |
9 | Q8. Note anything that interfered with your sleep. Ex. was ill with fever, dog barked, baby cried. |
10 |