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1. Total sleep time (in hours) 6 hours 29 minutes. On the time line below, block out your sleep
2. Total number of awakenings during major sleep period, 2 times. (Do not count the final
morning awakening)
3. On the scale below, rate the quality of your night’s sleep (in your opinion). Circle one of the
4. In your judgement, how many separate dreams can you recall at least fragment of?
5. Is it possible that you will recall some of your dreams better than others? Using percentages,
Dream 3: - Dream 4: -
6. How many of these dreams could you relate to pre-sleep experiences of the dream day?
None
7. Did you appear as a character in the dreams you recall? In how many?
9. Were there stimuli in your dreams of a nonvisual nature? Check the following if appropriate.
Date: 6/8/2020
1. Total sleep time (in hours) 6 hours 17 minutes. On the time line below, block out your sleep
2.
Total number of awakenings during major sleep period, 0 time. (Do not count the final morning
awakening)
3. On the scale below, rate the quality of your night’s sleep (in your opinion). Circle one of the
Bad -4 -3 -2 -1 0 +1 +2 +3 +4 Good
4. In your judgement, how many separate dreams can you recall at least fragment of?
5. Is it possible that you will recall some of your dreams better than others? Using percentages,
Dream 3: 1% Dream 4: -
6. How many of these dreams could you relate to pre-sleep experiences of the dream day?
None
7. Did you appear as a character in the dreams you recall? In how many?
9. Were there stimuli in your dreams of a nonvisual nature? Check the following if appropriate.
Date: 7/8/2020
1. Total sleep time (in hours) 5 hours 50 minutes. On the time line below, block out your sleep
2.
Total number of awakenings during major sleep period, 1 time. (Do not count the final morning
awakening)
3. On the scale below, rate the quality of your night’s sleep (in your opinion). Circle one of the
Bad -4 -3 -2 -1 0 +1 +2 +3 +4 Good
0
4. In your judgement, how many separate dreams can you recall at least fragment of?
5. Is it possible that you will recall some of your dreams better than others? Using percentages,
Dream 3: - Dream 4: -
6. How many of these dreams could you relate to pre-sleep experiences of the dream day?
None
7. Did you appear as a character in the dreams you recall? In how many?
Yes
8. How many of your dreams were in color?
9. Were there stimuli in your dreams of a nonvisual nature? Check the following if appropriate.
Date: 8/8/2020
1. Total sleep time (in hours) 6 hours 6 minutes. On the time line below, block out your sleep
10:56 pm 5:02 am
6.00 pm 10.00 pm 2.00 am 6.00 am 10.00 am 2.00 pm 6.00 pm
2.
Total number of awakenings during major sleep period, 1 time. (Do not count the final morning
awakening)
3. On the scale below, rate the quality of your night’s sleep (in your opinion). Circle one of the
Bad -4 -3 -2 -1 0 +1
+1 +2 +3 +4 Good
4. In your judgement, how many separate dreams can you recall at least fragment of?
5. Is it possible that you will recall some of your dreams better than others? Using percentages,
Dream 3: - Dream 4: -
6. How many of these dreams could you relate to pre-sleep experiences of the dream day?
None
7. Did you appear as a character in the dreams you recall? In how many?
Yes
8. How many of your dreams were in color?
9. Were there stimuli in your dreams of a nonvisual nature? Check the following if appropriate.
Date: 9/8/2020
1. Total sleep time (in hours) 8 hours 6 minutes. On the time line below, block out your sleep
10:24 pm 6:30 am
6.00 pm 10.00 pm 2.00 am 6.00 am 10.00 am 2.00 pm 6.00 pm
2.
Total number of awakenings during major sleep period, 3 times. (Do not count the final morning
awakening)
3. On the scale below, rate the quality of your night’s sleep (in your opinion). Circle one of the
Bad -4 -3 -2 -1 0 +1 +2 +3
+3 +4 Good
4. In your judgement, how many separate dreams can you recall at least fragment of?
5. Is it possible that you will recall some of your dreams better than others? Using percentages,
Dream 3: - Dream 4: -
6. How many of these dreams could you relate to pre-sleep experiences of the dream day?
None
7. Did you appear as a character in the dreams you recall? In how many?
Yes
8. How many of your dreams were in color?
9. Were there stimuli in your dreams of a nonvisual nature? Check the following if appropriate.
Date: 10/8/2020
1. Total sleep time (in hours) 7 hours 5 minutes. On the time line below, block out your sleep
11:33 pm 6:37 am
6.00 pm 10.00 pm 2.00 am 6.00 am 10.00 am 2.00 pm 6.00 pm
2.
Total number of awakenings during major sleep period, 3 times. (Do not count the final morning
awakening)
3. On the scale below, rate the quality of your night’s sleep (in your opinion). Circle one of the
Bad -4 -3 -2 -1 0 +1 +2 +3 +4
+4 Good
4. In your judgement, how many separate dreams can you recall at least fragment of?
5. Is it possible that you will recall some of your dreams better than others? Using percentages,
Dream 1: - Dream 2: -
Dream 3: - Dream 4: -
6. How many of these dreams could you relate to pre-sleep experiences of the dream day?
None
7. Did you appear as a character in the dreams you recall? In how many?
-
8. How many of your dreams were in color?
9. Were there stimuli in your dreams of a nonvisual nature? Check the following if appropriate.
Sound: - Taste: -
Touch: - Smell: -
SLEEP AND DREAMING RECORD – DAY 7
Date: 11/8/2020
1. Total sleep time (in hours) 6 hours 14 minutes. On the time line below, block out your sleep
2.
Total number of awakenings during major sleep period, 0 time. (Do not count the final morning
awakening)
3. On the scale below, rate the quality of your night’s sleep (in your opinion). Circle one of the
Bad -4 -3 -2 -1 0 +1 +2 +3 +4 Good
4. In your judgement, how many separate dreams can you recall at least fragment of?
5. Is it possible that you will recall some of your dreams better than others? Using percentages,
Dream 3: - Dream 4: -
6. How many of these dreams could you relate to pre-sleep experiences of the dream day?
None
7. Did you appear as a character in the dreams you recall? In how many?
9. Were there stimuli in your dreams of a nonvisual nature? Check the following if appropriate.
Touch: No Smell: No
SLEEP AND DREAMING RECORD – DAY 8
Date: 12/8/2020
1. Total sleep time (in hours) 6 hours. On the time line below, block out your sleep periods,
including naps.
11:30 pm 5:30 am
6.00 pm 10.00 pm 2.00 am 6.00 am 10.00 am 2.00 pm 6.00 pm
2.
Total number of awakenings during major sleep period, 2 times. (Do not count the final morning
awakening)
3. On the scale below, rate the quality of your night’s sleep (in your opinion). Circle one of the
Bad -4 -3 -2 -1 0 +1 +2
+2 +3 +4 Good
4. In your judgement, how many separate dreams can you recall at least fragment of?
5. Is it possible that you will recall some of your dreams better than others? Using percentages,
Dream 1: - Dream 2: -
Dream 3: - Dream 4: -
6. How many of these dreams could you relate to pre-sleep experiences of the dream day?
None
7. Did you appear as a character in the dreams you recall? In how many?
-
8. How many of your dreams were in color?
9. Were there stimuli in your dreams of a nonvisual nature? Check the following if appropriate.
Sound: - Taste: -
Touch: - Smell: -