| Sunday | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday |
| Pain level yesterday |
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| Pain medication |
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| Pain preventing onset of sleep |
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| How long before fell asleep |
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| How many times woken up by pain |
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| How many minutes awake during night |
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| Site of pain that caused waking |
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| Did pain prevent falling back asleep? |
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| Needed extra pain medication |
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| Level of pain on waking in morning |
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| Worse/better than normal? |
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| Other symptoms? |
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Once you have kept a sleep log for a month or so, various factors may become clearer. You will be able to see whether your insomnia is a disruption of the sleep cycle, with a shift either forwards (late to sleep, late to rise) or backwards (early to bed, early to rise) or indeed, a disruption
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