|
Exhibit 33: Weekly Sleep Diary
|
Sun |
Mon |
Tues |
Wed |
Thurs |
Fri |
Sat |
How many minutes did it take to fall asleep last night? |
|
|
|
|
|
|
|
How many hours did you sleep last night? |
|
|
|
|
|
|
|
How difficult was it to fall asleep last night?
(1 - not difficult, to 5 - very difficult) |
|
|
|
|
|
|
|
Rate the quality of last night's sleep.
(1 - excellent, to 5 - terrible) |
|
|
|
|
|
|
|
[Use the Back Button on Your Browser to Return to the Previous Page]
|
|
Therapy Manuals for Drug Abuse: Manual 2
Contents
|
|
|