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Daily mood Reflection
😴
Sleep Hygiene Index (SHI)
Evaluate your sleep habits and bedroom environment
Instructions
For each question, please indicate
how frequently
you engage in the behavior described. There are no right or wrong answers. Answer honestly based on your typical sleep habits.
Progress
0
%
Question
0
of 13
I take daytime naps lasting two or more hours.
Never
Rarely
Sometimes
Frequently
Always
I go to bed at different times from day to day.
Never
Rarely
Sometimes
Frequently
Always
I get out of bed at different times from day to day.
Never
Rarely
Sometimes
Frequently
Always
I exercise to the point of sweating within 1 hour of going to bed.
Never
Rarely
Sometimes
Frequently
Always
I stay in bed longer than I should two or three times a week.
Never
Rarely
Sometimes
Frequently
Always
I use alcohol, tobacco, or caffeine within 4 hours of going to bed or after going to bed.
Never
Rarely
Sometimes
Frequently
Always
I do something that may wake me up before bedtime (for example: play video games, use the internet, or clean).
Never
Rarely
Sometimes
Frequently
Always
I go to bed feeling stressed, angry, upset, or nervous.
Never
Rarely
Sometimes
Frequently
Always
I use my bed for things other than sleeping or sex (for example: watch television, read, eat, or study).
Never
Rarely
Sometimes
Frequently
Always
I sleep on an uncomfortable bed (for example: poor mattress or pillow, too much or not enough blankets).
Never
Rarely
Sometimes
Frequently
Always
I sleep in an uncomfortable bedroom (for example: too bright, too stuffy, too hot, too cold, or too noisy).
Never
Rarely
Sometimes
Frequently
Always
I do important work before bedtime (for example: pay bills, schedule, or study).
Never
Rarely
Sometimes
Frequently
Always
I think, plan, or worry when I am in bed.
Never
Rarely
Sometimes
Frequently
Always
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