SLEEPING-RELATED RECORD KEEPING CHART

SLU125 Choosing Wellness

SLEEPING-RELATED RECORD KEEPING CHART

COMPLETE ALL SECTIONS OF THIS CHART. TYPE YOUR RESPONSES.

NAME: Shaun Lynch COURSE SECTION:

WRITE YOUR SMART GOAL HERE: I want to sleep better.

Must be a specific, measurable, attainable, relevant, time framed wellness goal.

WRITE ONE QUESTION DIRECTLY RELEVANT TO YOUR SMART GOAL. THEN ANSWER IT USING ONLY A COURSE APPROVED WEBSITE AS YOUR RESOURCE. EX. “How is ghrelin associated with sleep and weight gain?”

Q1:

A1: SPECIFIC FINDINGS (3-4 SENTENCES); HOW YOU WILL APPLY THIS TO YOUR WELLNESS PLAN; AND CITE YOUR RESOURCE:

RECORD DATA FOR AT LEAST 3 DAYS THIS WEEK:

Sleeping data must include details about these questions: How much total sleep did you get? What time did you go to bed last night? How long did it take to fall asleep? What time did you get up? Did you wake up during your sleep time?

Date:________ Today’s sleep per SMART goal:

Date:________ Today’s sleep per SMART goal:

Date:________ Today’s sleep per SMART goal:

IN PHASE 1, I IDENTIFIED STRATEGIES I WOULD TRY TO OVERCOME OBSTACLES TO ACHIEVING MY SMART GOAL. THIS WEEK, I TRIED THESE STRATEGIES:

WHAT WORKED WELL FOR ME THIS WEEK:

CHALLENGES I ENCOUNTERED:

HOW I OVERCAME/TRIED TO OVERCOME THIS WEEK’S CHALLENGES:

SUPPORT: (friend, teammate, family, etc.)

WHAT I WILL DO DIFFERENTLY NEXT WEEK:

I WILL REWARD MYSELF FOR MEETING MY SMART GOAL WITH THIS EXTRINSIC REWARD:(EX: get, see, buy, call, go, take…)

WEEKLY SLEEP REFLECTION:

Include details about total sleep; how tired you feel; bed times; how long it took to fall asleep; time you got up; unusual or stressful days and effect on sleep; waking up during your sleep time, etc.

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SLEEPING-RELATED RECORD KEEPING CHART