Dream Survey

Thank you for filling out the following questionnaire. The answers you provide will broaden our understanding of the dialogue between dreamer and dream, and how that information may reflect or influence our walking lives. I would be happy to email you a summary of my current research using this questionnaire, and if you like I can offer comments on the dreams you describe below.

Please fill out the following information and then press the SUBMIT SURVEY FORM button

[If you would like a copy of this survey in MS WORD, download that HERE] 

Demographics
Gender	Male      Female
Age
State or country of residence
Country of birth
Are your primarily right-handed or left-handed?	Right-handed Left-handed
What was the last school you attended?  (grade school, high school, college, graduate/professional)
What is your occupation?
Pets
Do you currently have a pet (if so what kind?)?   Have you  had pets in the past?  (if so what kind?)?
Family Relations
How old are your parents?   If one or both of them have died, when did they die? (example:  1975, 1944)  If parents are divorced, when?
Do you have any siblings?  If yes, how old are they? (example: 42, 44, 38)	Yes No
Are you married or have a life partner?  If yes, for how long?  (If divorced, when?)	Yes No
Do you have any children?   If yes, how old are they? (example: 14,18,22)	Yes No
Political Preferences
How would you describe your political views?	Moderate Liberal Conservative Very Liberal Very Conservative Other :
What are the political issues you care most about?
Are you registered to vote?   If yes, in which political party?	Yes No
Religious/Spiritual Background
Where you raised in any  particular religious tradition?	Yes No
If "Yes", in which one?
Do you now belong to a  particular religious tradition?	Yes No
If "Yes", in which one?
How important is religion or spirituality in your life?	Very much Somewhat Not much Not at all
Sleep and Dream Patterns
How many hours on the average do you sleep each night?
How do you rate the quality of your sleep?	Good Fair Poor
How often do you wake up remembering a dream?	Almost every morning Once or twice a week Once or twice a month Once every few months Almost never
How often do you wake up remembering a frightening dream or nightmare?	Almost every morning Once or twice a week Once or twice a month Once every few months Almost never
Do you nap during the day?	Yes No
If "Yes", how long?
How often do you wake up from a nap remembering a dream?
Different Types of Dreaming
When answering the following questions, please describe when the dream occurred, details on the characters (their ages and relations to you), the settings (whether familiar or unfamiliar), any colors in the dream, and any emotions you felt.
Do your dreams always contain images and movement? (If not, can you describe the content or experience, i.e. color, feelings, sounds, etc.?)
Can you please describe the most recent dream you can remember, whether it was last night or a few nights ago?
Can you please describe the most memorable dream you’ve ever had, whether it was a few weeks ago, or several years ago, or farther back in your life?
What makes this dream so memorable?
Can you describe the very first dream you can ever remember having? How old were you at the time?
Can you describe the worst nightmare you ever had?
Can you describe the best dream you ever had?
Have you ever been taught anything in a dream?
Have you ever created anything from a dream (music, a painting, a building, a dance, etc.?  If so can you describe it?)
Have you ever resolved a problem in your dream?
Have you ever found in a dream, something you were searching for in your waking life? (a lost article, an answer to a question, a new discovery)
Have you had any dreams about terrorism, September 11, or the war in Iraq?  If yes, can you describe it?
Have you had any dreams about HurricaneKatrina or Rita?  If yes, can you describe it?
Have you ever had a dream about your work or occupation?  If yes, can you describe it?
Have you ever had a dream of flying?  If yes, can you describe it?
Have you ever had a dream in which someone who is dead in waking life appeared to you as if they were alive again?  If yes, can you describe it?
Have you ever had a dream in which you were “lucid,” and knew you were dreaming while you were still in the dream?  If yes, can you describe it?
Do your dreams ever have animals in them?  If yes, which ones appear the most frequently?
Do you ever dream of people of ethnic backgrounds different from your own?
Do you ever dream of snakes?  If yes, can you describe one?
Have you ever had a dream that you would call a mystical experience, or that was spiritually meaningful for you?  If yes, can you describe it?
Have you ever had a dream in which you felt an evil or demonic presence?  If yes, can you describe it?
Have you ever had a dream in which you felt paralyzed or unable to speak?  If yes, can you describe it?
Have you ever had a dream in which you were falling helplessly?  If yes, can you describe it?
Do you have any recurrent dreams?  If yes, can you describe the most common one?
Those are all the questions I have. Is there anything else you think would be useful to share about your dream patterns?  Are there any types of dreams we haven’t discussed that you think should be included in this research?
Thank you very much for your help, I really appreciate your assistance!

E-mail (If you want a response)
I would like comments on my dreams	Check for "Yes"
Check if you would like a copy of the research sent to you  after it is completed.	Check for "Yes"
Yes, I give my permission to have these dreams published by Bitsy Broughton,

All dream reports  are confidential, 
and all names and any identifying characteristics in the reports 
will be changed to safeguard the privacy of the dreamer.

 

Copyright 2005  - Bitsy Broughton Dream Works