By: Antoinette Chicchirichi
Dreams
What is your age?
Circle your age: 14 15 16 17 18
If older put your age: _____
Are you____ male or____ Female?
1. How many times have you ever woken up from a dream, actually sat, and thought about it?
____ Never
____ A few times
____ Many times
2. How often do you have a dream based on your actions from that day?
____ Never
____ A few times
____ Many times
3. Which of these moods affects your dreams the most?
*Check all that apply to you
___Happiness
___Sadness
___Anger
___Depression
___Excitement
___Pain
___Worrying
___ Stressed
4. Other than moods how do you think we affect our dreams?
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5. Do you agree or disagree that dreams could actually be trying to tell you something was going to happen in the future?
Ø ___Agree
Ø ___Disagree
6. Do you ever dream about the last thing you thought about before you went to sleep?
* Circle One
Ø Yes
Ø No
7. True or False? Dreams are based on our moods?
*Circle One
Ø True
Ø False
8. When you dream which affects your dreams more when you have a bad day or a good one?
Ø Good day
Ø Bad day
9. Do you think dreams are important?
*Circle one
Ø Yes
Ø No
Ø Not Sure
10. From your own opinion why do you think we dream the things we do?
_________________________________________________________
_________________________________________________________
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