Dream Survey For NS 1
This survey is for our student generated lab in NS1. We are researching the factors that effect dreams and how we can manipulate tem. Please take a few minutes to fill out this survey to the best of your ability. Thank you! J
Name (Optional) ______
Grade ______
Male / Female
1.) On average, how many hours of sleep do you get on a typical school night? ______
2.) Do you wake up with an alarm clock on a typical school morning? Y / N
3.) Do you dream/ remember dreaming on a typical school night? Y / N
4.) If yes, do you remember typically remember the content of your dreams? Y / N
5.) How many hours of sleep did you get last night? ______
6.) Did you dream/ remember dreaming last night? ______
7.) If yes, How many dreams did you remember having? ______
8.) If you dreamt, Do you remember the content of your dreams? ______
9.) Was there a theme in your dream? If so, what was it? ______
10.) Do you think this theme somehow applies to something that happened recently in you every day life? Y/ N
11.) On a scale of 1 to 5 (5 being the highest) how stressed are you right now? ______
12.) Do you think that there are any other factors that influenced you dreaming? If so, please list. ______
13.) Do you have any other comments of question? ______
14.) Would you like to participate in further research and experimentation of dreaming? Y / N
15.) If yes, please include your name and a means of contacting you. (dorm, telephone, or e-mail) ______