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info@sleme.in
(+91) 88000 07740
Sleep Log
Time You Went to Bed:
Time You Fell Asleep:
Time You Woke Up:
Time You Got Up:
Sleep Duration (in hours):
Sleep Quality (1-10):
Number of Wake-ups During the Night:
Restlessness or Discomfort:
Select
Restlessness
Discomfort
Pre-Sleep Routine:
Select
Read
Watched TV
Exercised
Used Electronics
Meditated
Meals (Last Meal before Sleep):
Select
Light Meal
Heavy Meal
Snack
No Meal
Caffeine/Alcohol Intake (Time/Amount):
Mood Before Sleep:
Select
Relaxed
Anxious
Excited
Neutral
Mood Upon Waking:
Select
Refreshed
Tired
Anxious
Neutral
Notes:
Submit
