Name *

First Name

Last Name

Problematic Variables *

Late night artificial light

Caffeine to late in the day

Stimulants - Alcohol and/or Sugar

Waking up to go to bathroom

Toss and turn

Eating too close to bed

Phone close to the bed

Falling asleep to the TV (speculation)

Going to bed angry or running through the days problems

Sleeping Well *

Cool room

Getting 30 mins of sunlight (sunset) exposure

Enjoying a hobby after work

Meditation

Breathwork

Omega-3 (ask before taking supplements)

Magnesium (ask before taking supplements)

CBD (ask before taking supplements)

Grounding - Feet in direct contact with earth’s surface