TO SLEEP,
PERCHANCE TO DREAM
Andreasson – Psychology SFCC - 2003
Name:
________________
Date: _____ Class Time: _______ 1.
Total sleep time (in hours) _____. 2.
Total number of awakenings during major sleep period. (Do
not count the final morning awakening.)
1-2 ___; 3-4 ___; 4 or more ____ 3.
On the
scale below, rate the quality of your
night’s sleep (in your opinion). Circle one of the numbers from plus
Minus 5 to Plus five. bad -5 -4
-3 -2 -1
0 +1 +2
+3 +4 +5
good 4.
In you
judgment, how many separate dreams can you recall at least a fragment of?
____ 5.
It is possible that you will recall some of your dreams better than others. Using percentages, estimate the amount of each dream recalled. Dream 1 ___
Dream 2 ____ Dream
3 ____ Dream 4 ___ 6. Did
you appear as a character in the dreams you recall? Yes __ No __ In how many? _____ 7. How many
of your dreams were in color? _____ 8.
Were there stimuli in your dreams of a nonvisual
nature? Check the following if appropriate. sound ____ taste ____ touch
_____ smell ____ 9.
On a scale of five, what in your opinion was your general “stress
level” before sleeping [that day]. low 1_____
2 _____ 3______ 4 ______ 5 _____ high 10.
Just before getting into bed, what if any, activities did you engage
in; (meditation, prayer, sitting quietly, T.V. news, sex, reading, exercise, yoga,
homework, etc.)
_________________________________ 11.
Did you eat any heavily digested foods just before bedtime? If so,
what? No ___ Yes ___
_______________________________________ 12.
Did you consume any alcohol beverage(s) prior to bedtime? No ___
Yes ____ What amount? ____________________________________ 13. About
how much caffeine, in your opinion, have you consumed over the past 24 hours or so. none 0 low 1 light 2 moderate 3 relatively high 4 high
5
[remember
to include all Pop-drinks & tea] *Assignment is due by Thursday November 20th.
Worth (5) points. Your responsible preparation will ensure a good class
discussion on this topic of sleep & dreaming. So, please be prepared! |