"Sleep hygiene" is the most powerful non-drug tool in sleep medicine. But it can sound abstract — what exactly should I do? This article lists every variable that affects sleep as 30 concrete checkboxes. Print it and stick it next to your bed.
A. Timing (5 items)
- No caffeine after 2 PM (or noon if you're sensitive)
- Finished dinner at least 3 hours before bed
- No alcohol within 3 hours of bed
- All screens (phone, TV, laptop) off at least 1 hour before bed
- Last full glass of water 1 hour before bed (only sips after)
B. Bedroom environment (6 items)
- Bedroom temperature is 18–20°C
- Dark enough that you cannot see your fingers (or use a mask)
- White noise or below 30 dB
- Mattress under 7 years old and matched to your body
- Pillow keeps head, neck, and spine in a straight line on your side
- Air ventilated 5 minutes 30 minutes before bed
C. Behavior (5 items)
- 30+ minutes of outdoor activity or exercise today
- Heavy evening exercise ended at least 3 hours before bed
- Warm shower or bath 1–2 hours before bed
- Bed used only for sleep (no work, TV, eating)
- If sleep doesn't come within 20 minutes, get up and move to another room (stimulus control)
D. Mind / psychology (5 items)
- "Worry note" 1 hour before bed — write every concern on paper
- Don't watch the clock in bed (move it out of sight)
- One or two rounds of 4-7-8 breathing
- If sleep doesn't come, don't calculate "how little I'll get"
- Recall (or write) 3 things you were grateful for today
E. Circadian rhythm (5 items)
- Woke at the same time (±30 minutes) — including weekends
- Natural light exposure within 30 minutes of waking (5–10 min)
- Breakfast included protein (cortisol normalization)
- 5-minute walk or outdoor break after lunch
- Warm-color dim lighting in the evening (amber)
F. Adjuncts (4 items)
- Magnesium 200–400 mg an hour before bed if needed
- Minimized exposure to alcohol, nicotine, and other stimulants today
- Sleep tracker / app for long-term pattern recognition
- Weekly review of your patterns — what was different on good nights vs bad?
How to use these 30 items
You can't hit all 30 at once. Build up in stages:
- Week 1: Group A (5 timing items) + #6 (bedroom temperature)
- Week 2: Add Group B (5 environment items)
- Week 3: Add Groups C and D
- Week 4: Add Groups E and F
If you can hold 25+ items consistently after a month, 90% of typical sleep problems disappear. If sleep still doesn't come, a medical cause like apnea may be involved — see a clinic.
The 5 with the biggest effect (priority for the time-poor)
- Cut caffeine after 2 PM (#1)
- Same wake time daily (#22)
- Morning sunlight 5–10 min (#23)
- Bedroom 18–20°C (#6)
- Screens off 1 hour before bed (#4)
Just these five produce a measurable improvement for over 80% of adults.
One more — don't feel guilty about the items you missed
Perfectionism is the enemy of sleep. Hitting 20 of 30 is plenty. Don't think "I had caffeine today, I ruined it"; think "tomorrow I'll move it earlier to 11 AM." The harder you press sleep, the further it pulls away.