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If you get the chance to participate in an MSLT or MWT study, this is the form you will complete to get your clinical hours. This is an OPTIONAL activity. You can email the completed form to: kcummins@southeast.edu.
MSLT/MST Summary
Student: ______________________________ Date: __________ Hours: __________
Location of activity: _______________________________________________________
Preceptor’s Signature & Credentials: _____________________________________________
Which test was performed: MSLT MWT
What activities did you observe/participate in:
In your opinion, do the results of this test suggest a sleep disorder is present? If so, explain your answer.
Was the patient asked questions prior to each nap? If so, what were they and why are those questions asked?
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