Please report on your typical sleep behaviour over the past 4 weeks

 
How old are you?

 
What is your sex?


 
Do you take any medication to help you sleep?


 
In the last 4 weeks, have you realized you were in a dream while dreaming?


 
Sleep time

 
Note that some people stay awake for some time when in bed, we are interested in when you actually fall asleep

 
In the last 4 weeks, have you experienced night terrors?


 
In the last 3 months, have you worked as a shift worker? *

     
 
Anything else you want to tell us about your sleeping habits?