Sleep Hygiene Worksheet

GinaMarie Guarino, LMHC GinaMarie Guarino, LMHC

Worksheet updated on July 7th, 2021

Sleep Hygiene Worksheet

Many people in therapy suffer from sleep issues. Whether it is stress, anxiety, depression a reaction to a medication, or insomnia, sleep issues are a common issue for people who are working on their mental health. Insomnia and sleep issues are difficult to deal with and can be symptoms of a deeper underlying issue.

While sleep issues are something to be taken seriously, it is common for them to be due to poor sleep hygiene. Sleep hygiene is important to stay mindful of because our bedtime patterns can affect the quality of sleep. It is not uncommon for people who are suffering from sleep issues to find relief when improving their sleep hygiene. If clients are aware of their habits that are impacting their sleep, they may be able to make modifications to their sleep hygiene to improve the situation.

About This Worksheet

This is the Sleep Hygiene worksheet. This worksheet provides a checklist of common factors that affect a client’s overall quality of sleep. Reflecting on sleep hygiene can be a great way for a client to check their bedtime habits and identify areas that could be causing problems for their sleep patterns.

This worksheet is a great self-reflection exercise that can work for adolescents and adults. It can be used in any therapy setting where it is deemed useful to review.


This worksheet provides a checklist of sleeping habits that may be affecting the client’s quality of sleep. Explain to the client the concept of sleep hygiene and how identifying patterns may help them learn healthier bedtime habits to improve sleep.

Instruct the client to check Yes or No next to each sleep hygiene habit. Allow the client time to read the checklist and record their responses. When finished, review the results with the client. Then provide habit changes that can be helpful to improve their quality of sleep. Provide the client with a copy of the worksheet and their recorded answers for reference.

Download Sleep Hygiene Worksheet

Link To This Worksheet

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