Never Based on findings from your daily log, grade your answer by circling one number for each of the following questions: Rarely Occasionally Most days/Nights Always 1 2 3 4 5 1 2 2 3 3 4 5 1 Ž 2 2 mm 3 3 4 4 5 5 1 How often do you experience so-called lucid dreams (see definition)? Definition: In a lucid dream, one is aware that one is dreaming during the dream. How often do your dreams affect your mood during the day? How often are you lacking a good night’s sleep? At least 6-8 hours. Do you experience recurring nightmares that relate to a situation that you have experienced in your waking life? Do critical events have an effect on your dream content? How often are you being awakened by nightmares? How often are you remembering your dreams? How often do you have nightmares? How often do your nightmares negatively impact family functioning? 1 1 2 2 2 ww 3 3 4 4 ? ? 5 5 3 4 5 1 1 NN 2 2 mim 4 5 1 2 m 3 4 5 Column Totals: _ + + + Total Score: Scores represent: 9-18 mild 19-27 moderate 28-36 moderately sev severe 37-45 severe sleep disturbance If you checked off any problems, how difficult have these problems made it for you to do your work, take care of yourself, or get along with other people? Not difficult at all Somewhat Difficult Neutral Very Difficult Extremely Difficult Method
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