Filling in the Ex-questionnaire, the participant states that she/he have read the description of the experiment, participates willingly, and gives her/his consent that the data provided through this questionnaire can be used for research conducted by Aniko Szeko for her BSc Thesis at Sigmund Freud University, Vienna.

The participant is informed that there is not any kind of obligation for her/him, there is no wrong or correct answer to the questions in the questionnaires, and the participant has the right to withdraw from the experiment at any time; as well as has the right to ask questions or make comments during the experiment, as well as be informed about the findings of the research if requested. 

It will take 5-10 minutes to fill in the questionnaire. Please remember, there is no wrong or correct answer to any of the questions, what I am looking for is honesty. Your data will be used to investigate the relationship between the effects of a particular breath-taking exercise and dream experience. 

If you have any questions or comments, please do not hesitate to contact me at 61808811@mail.sfu.ac.at

 

ID data: (to be able to connect the 23 questionnaires that belong to one participant)

Pseudo name followed by a 4 digits number: ……..

Date: ……. May, ….. (e.g., 14th May, Saturday)

Experiment day: Day …  (e.g., Day 14)

 

Please consider the last night when answering the questions!

I. Dreams

1., Did you have a dream? Yes, I had a dream/Yes, I had multiple dreams/Yes, I had a dream that continued even when I woke up during the night and got back to sleep/No/Maybe

2., Can you recall your dream or dreams (if you had multiple dreams last night)? Yes, I can recall my dream or all my dreams from last night/I can recall few of my dreams from last night but not all of them/I can recall some feelings or colours or voices, but not the story of my dream(s) from last night/No, I can’t recall anything 

3., Was it a lucid dream? Yes, my dream or my multiple dreams were lucid dreams last night/I had lucid dream(s) and non-lucid dreams as well during last night/ None of my dream(s) were lucid dreams last night 

3b., Could you describe how you know it was a lucid dream and what you did, otherwise leave it blank? ….. (This question appears only if they answered “yes”  to the previous question.)

4., Did you wake up during the night? Yes/No

4b., If yes, how many times? 1/2/3/4/5/more than 5 (This question appears only if they answered “yes”  to the previous question.)

4c., Was it before or after you woke up first if you had a dream? Before/After/I dreamt different dreams before and after I woke up/ The same dream continued before and after I woke up (This question appears only if they answered “yes” to the 4. question.)

5., Any comment or experience on your dreams you would like to share? ……..

 

II. Sleep quality

1., When did you go to bed? Between 20:00-21:00/Between 21:01-22:00/ Between 22:01-23:00/ Between 23:01-24:00/after midnight

2., When did you wake up? Before 5:00/Between 05:00-06:00/Between 6:00-7:00/Between 07:00-08:00/Between 08:00-09:00/Between 09:00-10:00/after 10:00

3., How many hours did you sleep? 4/4,5/5/6/7/7,5/8/9/more than 9

4., Did you wake up to an alarm? Yes/No/I was woken up by someone or something (noise, fly etc.) /I was woken up by a bad dream

5., Did you look at your emails or social media on your phone before starting the breathing exercise or counting task? Yes, for less than 5 minutes/Yes, for more than 5 minutes and less than an hour/Yes, I was scrolling on my phone hours long before starting the breathing exercise or counting task /No

6., What was the room temperature where you slept? Below 18 Celsius (Below 64 Fahrenheit)/Between 18-20 Celsius (Between 64-68 Fahrenheit)/Between 21-23 Celsius (Between 68,5-74 Fahrenheit)/Between 24-25 Celsius (Between 74,4-77 Fahrenheit)/Above 25 Celsius (Above 77 Fahrenheit) 

7., Did you have a nap and dream during the nap yesterday? Yes, I had a nap, but I do not remember having a dream/Yes, I had a nap and a dream during my nap/Yes, I had a nap and a lucid dream during my nap/No

8., Did you watch TV before starting the breathing exercise/counting task? Yes/No

9., Did you read or watch something emotional, exciting or annoying before starting the breathing exercise/counting task? Yes/No

10., Any comment or experience on your sleep quality you would like to share? ……..

 

III. Eating habits and supplements

1., How much alcohol did you drink yesterday? I did not drink alcohol yesterday/I had one glass of wine, one cocktail, one beer/I had 2-3 glasses of wine or cocktail or 2-3 beers/ I was tipsy yesterday/I was drunk yesterday

2., How much coffee did you drink yesterday? 1/2/3/4/5/more than 5

3., When was your last coffee yesterday? I did not drink coffee yesterday/12-14 or more than 14 hours before going to bed/10 -12 hours before going to bed/8-10 hours before going to bed/6-8 hours before going to bed/ less than 6 hours before going to bed/I went to bed within an hour from my last coffee yesterday 

4., What nutrition supplements or medicaments/drugs did you take yesterday, and how much? (e.g., multivitamin, hemp or CBD, melatonin, aspirin, allergy medicine, birth control pill, etc.) nothing/list them:….

5., How many hours before going to sleep did you eat (anything, snack included)? 6/5/4/3/2/1/I was chewing the last bit when I started the breathing exercise or counting task

6., Any comment or experience regarding your eating, drinking, supplements, medicine, etc., you would like to share? ……..

 

IV. Physiology

1., Did you do any kind of physical exercise yesterday? (Anything that elevates your pulse) Yes/No

2., Did you have an orgasm yesterday before or after starting the breathing task or counting task, or did you entirely skip the breathing task or counting task before falling asleep? No/I do not wish to share/Yes, before the breathing task or counting task/Yes, after the breathing task or counting task/ Yes, I did, and I skipped the breathing task or counting task

2b., Did you have any sexual phantasies before going to sleep? Yes / No / I would rather not answer 

3., Did you experience altitude level changes yesterday? Yes/No

4., Did you fly by plane yesterday? Yes/No

5., Did you have jetlag yesterday? Yes/No

6., Any comment or experience you would like to share here? ……..

 

V. Health

1., How many cigarettes did you smoke yesterday? I did not smoke yesterday/5-10/11-20/more than 20 cigarettes 

2., Did you meditate yesterday? Yes, in the morning/Yes, during the day/Yes, in the evening/No

3., Were you ill yesterday? Yes/No

4., Did you have a fever yesterday? Yes, ……./No

5., Did you have high or low blood pressure yesterday? Yes, I had high blood pressure yesterday …../Yes, I had low blood pressure yesterday/None of them

6., If you are a woman, did you have your period yesterday? I am a man/Yes, it started yesterday/Yes, I am in the middle of my period/Yes, I am at the end of my period/No

7., Did you smoke marihuana yesterday? Yes/No/Not answering the question

8., Did you take any kind of psychedelics yesterday? Yes/No/Not answering the question

9., Any comment or experience regarding your health you would like to share? ……..

 

VI. Experiment related questions

1., Which task did you do yesterday evening? Breathing exercise/counting task/I skipped doing any of them/I accidentally swapped them, and I did the breathing exercise instead of the counting task or vice versa

2., Did you fall asleep while doing counting task/doing the breathing exercise? Yes/No

3., Have you applied any known LD inducement technique, supplement, device? Yes/No

(I know I asked you not to, but in case you did, I need to know. No worries, there is no wrong answer!)

4., Did you listen to music while falling asleep? Yes/No

5., Did you lie on your back the whole time when carrying out the breathing exercise or counting task? Yes/No

6., Have you given a thought to your dreams or dreaming yesterday during the day? Yes/No

7., Have you thought of the breathing task/counting task yesterday during the day? Yes/No

8., Any comment or experience regarding the experiment you would like to share? ……..