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Notes for your doctor

• Loud snoring, or someone has seen you stop breathing or gasp in your sleep
• Feeling very sleepy during the day, even after enough time in bed
• Nodding off, or nearly, while driving
• An urge to move your legs in the evening or at night that eases when you move
• Shouting, punching, or kicking in your sleep, as if acting out a dream
• Sleepwalking, or doing other things in your sleep
• Sudden muscle weakness when laughing or with other strong feelings
• Waking with a headache or a very dry mouth
• Nightmares once a week or more
• Pain that wakes you or keeps you up
• Getting up to pee two or more times on most nights
• Sleep that changed when you started or stopped a medicine
• Low mood, or losing interest in things, on most days for two weeks or more
• Worry on most days that’s hard to set aside
• Trouble sleeping for three months or more

What do you take for sleep?OptionalMedicines, supplements, or anything else, with how much and how often if you know.

Anything else to mention?Optional

The report is printed from the sleep diary, with the nights you choose. Print your diary report

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Read more: When to see a doctor

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Everyday Insight’s tools are for education and personal reflection. They are not therapy or medical care, and they are not for emergencies. In an emergency, call 911. If you are in crisis in the United States, call or text 988.