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Dream Recall
Science fair survey 2018-19
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* Indicates required question
How old are you?
*
Your answer
What gender are you?
Male
Female
Prefer not to say
Clear selection
Have you had any brain injuries (concussions, etc?)
Yes
No
Clear selection
Do you have short / long term memory loss?
Yes
No
Clear selection
Did you have a dream last night?
Yes
No
Maybe
Clear selection
If you had a dream, how detailed?
Your answer
How long do you normally sleep for?
3 or less hours
4-6 hours
7-8 hours
9+ hours
Clear selection
Have you been diagnosed with any sleeping disorders? Select what is needed.
Insomnia
Sleep Apnea
Narcolepsy
Restless Legs Syndrome
None
Other:
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