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Sleep Wake & Activity Diary (Surrey Memorial Hospital) [English] Permalink Under Revision

This form will allow you to track your waking and sleeping patterns. It is also recommended to track the timing of your major meals, exercise, consumption of alcohol, caffeine, and medications to gain some insight into your sleep/wake habits. (English) Black & White

Catalogue Number:
Body Location:
  • Brain and Nerves
Disorders and Conditions:
  • Sleep Disorders
  • Activity,
  • Rehabilitation,
  • Exercise,
  • Therapy,
  • Rehab,
  • Alcohol,
  • Caffeine,
  • Physical,
  • Sleep,
  • Wake,
  • OT,
  • Physio,
  • Occupational,
  • Active
  • All
  • Rehabilitation/Centralized Allied Health
Revision Date:
September 21, 2011
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About Fraser Health Patient Education

This catalogue serves the people using Fraser Health programs and services in communities from Burnaby east to Hope and surrounding areas.

Our goal is to provide you with reliable information in a way that you can find what you need, understand what you find, and use it to make decisions about your health.


Patient Education
Professional Practice
Fraser Health
#400, 13450 102nd Ave.
Surrey, BC  V3T 0H1

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