Sleep Study
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…) | Brushed teeth, watched T.V. | Brushed teeth, Watched T.V. | Brushed teeth, Watched T.V. | | What time did you go to bed last night? | 9pm | 1130pm | 10pm | | How long did it take to fall asleep? | 60 mins | 2 hours | 60 mins | 80 mins | Did you wake up during your sleep? How many times? How long? | Yes, about 10 times, about ten to fifteen mins each time | Yes, once, about an hour and a half | Yes, about 6 times, about 15 mins each | 5.67x, average 40 mins each time | Did you get out of bed? | Yes, once | yes | Yes. once | Yes | What time did you get up? | 6am | 7am | 6 am | | How much total sleep did you get? | About 7 hrs | 5 hrs | 6 hrs | 6 | Rate your restfulness on a scale of 1-10(1 = no restfulness)(10 = fully rested) | 3 | 5 | 3 | 3.67 | Anything usual that could have impacted sleep (feeling sick, significant other snoring, etc…) | I have a nerve issue in my neck right now that affects my whole right arm and hand, I wake in pain all night every night, and once to use the bathroom | I took a muscle relaxer when I woke in the middle of the night and couldn’t fall back asleep due to pain. | Same issues with pain as the previous nights. | | Other comments you want to track or make note of | | | | |
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…) | Brush teeth, Breathing routine, center point to focus. | Brush teeth, Breathing routine, Dark room | Brush teeth, Breathing routine, |
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…) | Brushed teeth, watched T.V. | Brushed teeth, Watched T.V. | Brushed teeth, Watched T.V. | | What time did you go to bed last night? | 9pm | 1130pm | 10pm | | How long did it take to fall asleep? | 60 mins | 2 hours | 60 mins | 80 mins | Did you wake up during your sleep? How many times? How long? | Yes, about 10 times, about ten to fifteen mins each time | Yes, once, about an hour and a half | Yes, about 6 times, about 15 mins each | 5.67x, average 40 mins each time | Did you get out of bed? | Yes, once | yes | Yes. once | Yes | What time did you get up? | 6am | 7am | 6 am | | How much total sleep did you get? | About 7 hrs | 5 hrs | 6 hrs | 6 | Rate your restfulness on a scale of 1-10(1 = no restfulness)(10 = fully rested) | 3 | 5 | 3 | 3.67 | Anything usual that could have impacted sleep (feeling sick, significant other snoring, etc…) | I have a nerve issue in my neck right now that affects my whole right arm and hand, I wake in pain all night every night, and once to use the bathroom | I took a muscle relaxer when I woke in the middle of the night and couldn’t fall back asleep due to pain. | Same issues with pain as the previous nights. | | Other comments you want to track or make note of | | | | |
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…) | Brush teeth, Breathing routine, center point to focus. | Brush teeth, Breathing routine, Dark room | Brush teeth, Breathing routine, |
References: http://www.ehow.com/video_2357532_guided-meditation-yoga-exercises.html?wa%5Fvlsrc=continuous&cp=1&pid=1&wa%5Fvrid=8349eadf%2D6d4b%2D4c48%2Da729%2Da0eb2c815904 http://www.womentowomen.com/fatigueandstress/yogaforinsomnia.aspx http://thehealthylivinglounge.com/2009/06/16/12-great-reasons-to-start-alternate-nostril-breathing-today/ http://www.sharecare.com/question/what-significance-alternate-nostril-breathing http://ezinearticles.com/?Natural-Sleep-Aids-Versus-The-Sleeping-Pill&id=939400