Assessment of Stressful Events
This form must be completed for each day you participate in the study.
Remember that it is very important that the information is as accurate as possible. If you forgot to enter a value and do not remember it, it is preferable that you write it down as "I do not remember"
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Write your initials *
Specify the day *
When filling in the data related to a day, consider the day from 00:00 to 24:00.
MM
/
DD
/
YYYY
Beginning of night sleep *
If it started before 00:00 on the day you are evaluating, enter the corresponding time. For example, if you are evaluating on Monday and went to bed on Sunday at 10 p.m., in this box indicate 10:00 p.m.
Time
:
End of night sleep *
Time
:
Quality of Night Sleep *
Have you had a nap? *
Start of the Nap
Time
:
End of the Nap
Time
:
Stress Level *
Very calm
Normal
Somewhat Nervous
I do not remember
From 0:00 to 4:00
From 4:00 to 8:00
From 8:00 to 12:00
From 12:00 to 16:00
From 16:00 to 20:00
From 20:00 to 0:00
Mood *
Sad / Discouraged / Angry
Normal
Happy
I do not remember
From 0:00 to 4:00
From 4:00 to 8:00
From 8:00 to 12:00
From 12:00 to 16:00
From 16:00 to 20:00
From 20:00 to 0:00
Specify any other event that you consider relevant or unusual in your day to day.
Let us provide as many details as possible. Here you can write down, for example, if you have seen a football game and have been upset, if you have had an unexpected event, if you have had a work dispute, an excessively long meeting, etc. Anything can help us and if you can please specify the time and duration of the event.
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