Prepare for a better conversation

Sleep Appointment Prep Builder

It can be hard to remember everything once you’re in the exam room. Gather your sleep concerns, everyday patterns, and questions into a clear summary you can bring to your appointment.

For adults preparing for a healthcare visit. Allow about 5–10 minutes. Every field is optional; skip anything you don’t know.

Your information stays in this page. This tool does not send your entries or save them to this website. Download or print your summary before leaving; reloading may erase your entries. Your browser may restore form entries. On a shared device, use “Clear everything” when finished. Downloaded files and printouts may contain sensitive information.

Don’t wait for an appointment summary in an emergency. For severe breathing difficulty, chest pain, or another medical emergency, seek immediate emergency care. If you’re struggling to stay awake while driving, stop safely and arrange another ride; discuss this promptly with a clinician.

2. A typical night and day

Estimates are fine. Use AM/PM and describe overnight or rotating shifts if relevant.

Workday sleep schedule

Days-off sleep schedule

Time to fall asleep

Night awakenings and time awake

Estimated actual sleep

Naps

Caffeine, alcohol, nicotine, cannabis, and other substances

Other patterns or interruptions

3. Health history and what you’ve tried

Medicines, sleep aids, and supplements

Include prescription and over-the-counter products, name, dose, timing, frequency, and recent changes. Bring bottles or an up-to-date list if easier. Do not change medicines based on this tool.

Relevant conditions, procedures, and allergies

Previous sleep evaluation, treatment, and results

Sleep diary or tracker observations

4. Questions for your clinician

Choose the questions that matter to you. These prompts do not mean you need a particular test or treatment.

Possible questions

What should we evaluate first? Could medicines or supplements contribute? Would testing be appropriate? Would CBT-I be appropriate? What about sleepiness and driving safety? What is the plan and follow-up timing?

Your own questions or priorities

Your appointment summary

Build your summary, then edit it below. Only this summary is printed or downloaded. If you change the form, rebuild the summary before exporting.

Editable summary

What else to bring

A current medication and supplement list, including doses.
Any previous sleep study reports or treatment records you have.
A sleep diary covering 1–2 weeks, if possible. Include sleep times, naps, daytime sleepiness, and caffeine or alcohol timing.
Relevant observations from a bed partner, and tracker trends clearly labeled as device estimates.

This tool organizes what you report. It does not diagnose a sleep disorder, score your risk, or decide which tests or treatments you need.

Background: National Heart, Lung, and Blood Institute: diagnosing insomnia .

Sleep Appointment Prep Builder

1. Your visit and main concern

2. A typical night and day

3. Health history and what you’ve tried

4. Questions for your clinician

Your appointment summary

What else to bring