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SLEEP LOGS

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Remember to keep those sleep logs! NOV 1 - NOV 14

The following is the information that should be included:

1. Date

2. Onset of RLS symptoms and severity- for onset indicated clock time and for

severity use this scale 0=no symptoms; 1=mild; 2=moderate; 3=severe

3. Medication- include type, amount and time taken or any other remedy you use

to alleviate the RLS

4. Bedtime

5. Minutes to fall asleep

6. Number and duration of all awakenings and indicate if RLS symptoms were

present

7. Final wake time

8. Total sleep time

Compete #s 1-4 before retiring. Complete the rest in the morning. Remember,

don't watch the clock, just guess!

Ways to get the data to me:

a. email

b. fax

c. mail

Clifford Massie, PhD

Suburban Lung Associates

810 Biesterfield Rd., Suite 404

Elk Grove Village, IL 60007

I'd like to get at least 20 people to do this so I can analyze the results.

Thanks!

--Clifford

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