Daily Subconscious Tracker Form

A daily log for noting sleep patterns, remembered dreams, and how you feel upon waking, so you can spot trends over time.

Use this template

Date

Name

First Name

Last Name

Do you drink any caffeinated beverages at least 2 hours before bed?

Yes No

Do you wake up between 1am-3am or 3am-5am?

Yes No

Do you remember your dream?

Yes No

What was your dream about?

Do you feel any pain when you woke up?

Yes No

Where was the pain located?

If you woke up between 1am-3am or 3am-5am were you able to fall back to sleep?

Do you have to do anything to help yourself fall back to sleep ex: meditate, read, pray, do a word search, watch television?

How long did it take to fall back to sleep?

Did you feel sleepy, confused, irritated or notice any change in your energy and concentration throughout the rest of the day?

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