This sleep diary should be completed during the two weeks immediately prior to a multiple sleep latency test (MSLT) or a maintenance of wakefulness test (MWT). The diary consists of fourteen 24 hour graphs. Please bring the completed diary with you when you attend the overnight study before your MSLT or MWT.
At bedtime, just before turning out the lights, record the following daily activities using the appropriate symbols at the appropriate time (Note: MN – midnight; MD – midday)
|C||Caffeine one “C” for each cup of tea, coffee or Coke|
|A||Alcohol one “A” for each glass|
|NB||Beginning of nap|
|NE||End of nap|
|M||Medication (ie: sleeping pill, sedative, regular medication)|
|↓||Time you turned out lights to go to sleep|
After your final morning wakening, but before getting out of bed, record the following:
|AL||Woken by alarm or other stimuli|
|↑||Time you actually got out of bed|
Princess Margaret Hospital’s sleep clinic has had 283 referrals in the past six months, more......