M3 A2
LASA 1
Data Tracking Sheet
Data A
Fill out this form every morning for 3 days. Day | 1 | 2 | 3 | Average scores/Amounts | What did you do during the 30 minutes before bed?(routine, brushed teeth, etc…) | Wash face, brush teeth, watch tv | Working (heavy lifting)Wash face, brush teeth | 15 minute run, took shower, watch tv | | What time did you go to bed last night? | 10:30 pm | 12:05 am | 10:00 pm | | How long did it take to fall asleep? | 15-20 minutes | 30 minutes | 45 minutes | | Did you wake up during your sleep? How many times? How long? | Once for 5 minutes | Overnight at work requires me getting up every two hours. I was up 4 times for about 15 minutes each | never | | Did you get out of bed? | yes | All 4 times | N/A | | What time did you get up? | 8:00 am | 8:00 am | 6:15 am | | How much total sleep did you get? | 9.25 hrs | 6.5 hrs | 7.5 hrs | | Rate your restfulness on a scale of 1-10(1 = no restfulness)(10 = fully rested) | 8 | 5 | 4 | | Anything usual that could have impacted sleep (feeling sick, significant other snoring, etc…) | Needed to use bathroom | When client wakes up, I need to get up as well | | | Other comments you want to track or make note of | | | Exercising shortly before bed makes it hard for me to fall asleep | |
Data B
Fill out this form every morning for 3 days after reading, researching, and practicing breathing technique. This needs to include using the breathing technique after entering bed, being quiet, in the dark, with the breathing technique done at least 10 times. Day | 1 | 2 | 3 | Average scores/Amounts | What did you do during the 30 minutes before bed?(routine, brushed teeth, etc…) | | | | | What time did you go to bed last night? | | | | | How long did it take to fall asleep? | | | | | Did you wake up during your sleep? How many times? How long? | | | | | Did you get out of bed? | | | | | What time did you get up? | | | | | How
Data Tracking Sheet
Data A
Fill out this form every morning for 3 days. Day | 1 | 2 | 3 | Average scores/Amounts | What did you do during the 30 minutes before bed?(routine, brushed teeth, etc…) | Wash face, brush teeth, watch tv | Working (heavy lifting)Wash face, brush teeth | 15 minute run, took shower, watch tv | | What time did you go to bed last night? | 10:30 pm | 12:05 am | 10:00 pm | | How long did it take to fall asleep? | 15-20 minutes | 30 minutes | 45 minutes | | Did you wake up during your sleep? How many times? How long? | Once for 5 minutes | Overnight at work requires me getting up every two hours. I was up 4 times for about 15 minutes each | never | | Did you get out of bed? | yes | All 4 times | N/A | | What time did you get up? | 8:00 am | 8:00 am | 6:15 am | | How much total sleep did you get? | 9.25 hrs | 6.5 hrs | 7.5 hrs | | Rate your restfulness on a scale of 1-10(1 = no restfulness)(10 = fully rested) | 8 | 5 | 4 | | Anything usual that could have impacted sleep (feeling sick, significant other snoring, etc…) | Needed to use bathroom | When client wakes up, I need to get up as well | | | Other comments you want to track or make note of | | | Exercising shortly before bed makes it hard for me to fall asleep | |
Data B
Fill out this form every morning for 3 days after reading, researching, and practicing breathing technique. This needs to include using the breathing technique after entering bed, being quiet, in the dark, with the breathing technique done at least 10 times. Day | 1 | 2 | 3 | Average scores/Amounts | What did you do during the 30 minutes before bed?(routine, brushed teeth, etc…) | | | | | What time did you go to bed last night? | | | | | How long did it take to fall asleep? | | | | | Did you wake up during your sleep? How many times? How long? | | | | | Did you get out of bed? | | | | | What time did you get up? | | | | | How