1 hour before going to bed
sit in chair, relax for 30 minutes, on a time-out
Time to relax, remind, without reliving
time for clearing and releasing.
Letting go of unwanted the thoughts and feeling attached to the day.
Seeing solutions, assistance, clearing the way for a relaxed and rested night.
Morning Questions
Was it easy to fall asleep? yes or no
Are you rested (relaxed)? yes or no
How was your sleep/rest overall? good or same or restless
Would you take the time to do each night? yes or no
What time did you get up?
time____:_____
Did you use an alarm clock ? yes or no
How well does an alarm clock work for you? Very well satisfactory ok
Do you use the snooze function or your clock? yes or no
How many minutes on average do you "snooze" ?
I was awaken by an unexpected event? yes or no (if yes a blank piece of paper to write about the event)
Note- for any and all events which involve trauma or unexpected change(s) in your mood or behaviors please use your local resources to find the support you may need.
If no, answer the questions in the lighter blue text only.
How or who wakes you each morning?
Circle one -
I awake bright-eyed and ready to get out of bed
I awake slow and easy, this works for me. Take __________minutes
I awake, return to rest not sleep for _______minutes. Needed to be reminded to get out of bed.
I am sometime late because I lose track of time, I awake tried.
None of those apply to me every day but one or more can apply depending on day I had and or what I did the night before.
