BrainPal Sleep Diary
1
Date
2
Use a device?
3
Time in bed
4
Habits
5
Routine
6
Sleep Rating
7
Finished
Date
MM slash DD slash YYYY
Did you use a device to track your sleep?
For example, a smartwatch, Oura Ring, Whoop band, etc.?
Yes
No
Time you went to bed
Hours
:
Minutes
AM
PM
AM/PM
Time you woke up
Hours
:
Minutes
AM
PM
AM/PM
Hours of sleep tracked by your device?
Please enter a number from
0
to
16
.
Did you exercise on this date?
Yes
No
Did you exercise within 2-3 hours of bed?
Yes
No
Did you meditate on this date?
Yes
No
Did you take a nap on this date?
Yes
No
Have any caffeine today?
Yes
No
What time did you have caffeine?
Hours
:
Minutes
AM
PM
AM/PM
Did you eat or drink within 2-3 hours of bedtime?
Ate food
Drank
Third Choice
Pre-sleep routine:
What were some things you did within 60 minutes of sleeping?
On a scale of 1-10, how would you rate your sleep quality?
This is for your sleep quality last night. 1 = bad, 5 = average, 10 = mood was great
Please enter a number from
1
to
10
.
Would you like to support the BrainPal Sleep Journal?
(Required)
Support future development of the BrainPal sleep journal. Help turn it into the best thing ever for people who want to approve their sleep.
Yes
No
Pay what you want
(Required)
Select a price you think is fair for the BrainPal Sleep Journal (our payment processor has a $0.50 minimum).
Please enter a number from
0.5
to
100
.
Product Name
Price:
$0.00
Total
Pay what you want
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