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Sleep Tracker Form Template

Improve your sleep habits with ease and clarity

Struggling to pinpoint why you're not getting quality rest? This Sleep Tracker Form Template helps you consistently monitor your sleep patterns and identify habits that impact your sleep quality. Ideal for anyone looking to improve their sleep health, it allows you to record metrics like bedtime, wake time, sleep duration, and wakefulness throughout the night, helping you spot trends and make informed changes. With easy-to-use fields and WCAG-aligned labels, this template makes tracking your sleep a breeze. Try using the live template now to get started.

Date of this sleep entry
Bedtime (enter time, e.g., 10:30 PM or 22:30)
Wake-up time (enter time, e.g., 6:45 AM or 06:45)
Estimated total sleep duration (hours and minutes)
Time it took to fall asleep
0-15 minutes
16-30 minutes
31-60 minutes
More than 60 minutes
Not sure
Number of awakenings during the night
0
1
2
3
4 or more
Not sure
Overall sleep quality last night
Poor
Below average
Average
Good
Exceptional
How alert did you feel on waking?
Very groggy
Groggy
Neutral
Alert
Very alert
Did you consume caffeine after 2 PM?
Yes
No
Did you consume alcohol in the evening?
Yes
No
Did you exercise today?
Yes
No
Screen time in the hour before bed
None
Less than 30 minutes
30-60 minutes
1-2 hours
More than 2 hours
Not sure
Stress level before bed
Very low
Low
Moderate
High
Very high
Total nap time today (if any)
Naps today
Yes
No
Issues that disturbed your sleep (select all that apply)
Please Specify:
Did illness or pain affect your sleep?
Yes
No
Not sure
Did you take any sleep medications or supplements?
Yes
No
Snoring or sleep apnea observed or reported
No
Yes
Not sure
Prefer not to say
Did you meet your target bedtime?
Yes
No
Not applicable
Notes (anything else to record about your sleep)
I confirm this entry is accurate to the best of my knowledge
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
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Paper art illustration depicting a sleep tracker form template with icons related to sleep and tracking progress

When to use this form

Use this form when you want to spot patterns behind poor rest, daytime sleepiness, or an irregular schedule. It is helpful for insomnia, jet lag after travel, or rotating shift work. Parents can log a child's nighttime wakings and naps. Coaches and clinicians often ask for two weeks of bedtimes, wake times, awakenings, caffeine, alcohol, screens, and meds before a visit. Those notes make it easier to discuss symptoms alongside a Patient assessment form and link morning pain with a Headache diary form. If you plan a referral or need documentation, pair your results with a Medical report form to summarize findings and next steps.

Must Ask Sleep Tracker Questions

  1. What time did you get into bed and try to fall asleep?

    This sets your starting point and helps measure schedule consistency. It also supports sleep efficiency calculations and highlights late bedtimes that may hurt recovery.

  2. How long did it take you to fall asleep?

    Sleep latency shows whether insomnia or anxiety may be present. Tracking it over time lets you see which habits or treatments improve onset.

  3. How many times did you wake during the night, and for how long?

    Night wakings reveal fragmentation from noise, pain, or breathing issues. Duration helps you target fixes like environment changes or medical follow-up.

  4. What time did you wake for the day, and when did you get out of bed?

    Final wake time versus out-of-bed time shows time in bed and supports accurate sleep efficiency. If you need formal accommodations, your log can support a Physician statement form.

  5. Which factors affected your sleep today (caffeine, alcohol, exercise, naps, screens, stress, pain, or medications)?

    Context explains good and bad nights so you can change what matters. Over time, you will see which triggers to avoid and which habits help.

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