## My Baby's Behavior Diary

**Date started:** _____ / _____ / _____  
**My baby’s name:** ______________________________________________________  
**The most pleasant time today with my baby was:**  
6 a.m.  
Fussing:  ________ Crying: ________ Eating: ________ Awake: ________ Sleeping: ________  
2 p.m.  
Fussing:  ________ Crying: ________ Eating: ________ Awake: ________ Sleeping: ________  
10 p.m.  
Fussing:  ________ Crying: ________ Eating: ________ Awake: ________ Sleeping: ________  
5 a.m.  
Fussing:  ________ Crying: ________ Eating: ________ Awake: ________ Sleeping: ________  
1 p.m.  
Fussing:  ________ Crying: ________ Eating: ________ Awake: ________ Sleeping: ________  
9 p.m.  
Fussing:  ________ Crying: ________ Eating: ________ Awake: ________ Sleeping: ________  
4 a.m.  
Fussing:  ________ Crying: ________ Eating: ________ Awake: ________ Sleeping: ________  
12 Noon  
Fussing:  ________ Crying: ________ Eating: ________ Awake: ________ Sleeping: ________  
8 p.m.  
Fussing:  ________ Crying: ________ Eating: ________ Awake: ________ Sleeping: ________

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## My Baby’s Behavior Diary: Instructions

This is a diary of what your baby did during a 24-hour day. One complete 24-hour day is indicated by the three horizontal bars (midnight to 8 a.m., 8 a.m. to 4 p.m., and 4 p.m. to midnight). Each box on the bar indicates a 15-minute period (four boxes per hour), and the time of day is indicated along the bars.

## How to Fill Out the Form

1. In each box in the diary, mark the letter for the main behavior your baby was showing in each of the 15-minute blocks:
   - A = Awake (your baby is awake and alert, looking around or playing)
   - E = Eating (your baby is being fed and is sucking and swallowing)
   - S = Sleeping (your baby is sleeping peacefully)
   - F = Fussing (your baby is agitated and upset and probably moving a lot; your baby may be making fussy sounds but not cries; your baby is awake and uncomfortable)
   - C = Crying (your baby is crying with each breath and is very uncomfortable; it usually takes both the baby and the parent a little while to get used to each other)

2. Record only one behavior for each block. Sometimes your baby may be doing two behaviors during the 15-minute period. Choose the main (longest, most noticeable) behavior that you see.

| 2 Noon |  | 1 p.m. |  |  |  | 2 p.m. |  |  |  | 3 p.m. |  |  |  | 4 p.m. |  |  |  | 5 p.m. |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| E | A | A | F | F | C | C | C | C | S | S | S | S | A | A | E | A | F | C | C |  |  |

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