R5 FORM



1. No. of Dreams Recorded:


2. No. of Words Written in Recording (estimate):


3. No. of Dreams Analyzed for Dream Signs:


3. Dream Sign Most Prevalent:


4. Concerns, Worries, Difficulties:


5. Attempting to Wake Yourself Multiple Times? Y or N


6. No. of Times This Week’s Exercise Attempted:


7. Success? Y or N


8. Explain:


9. Miscellaneous:


10. Are You Asleep Now? Y or N