LUCID DREAM HEALING QUESTIONNAIRE

APPENDIX B LUCID DREAM HEALING QUESTIONNAIRE E. W. KELLOGG III, Ph.D. (© 1994) INTRODUCTION A number of individuals have reported physical healing following LUCID DREAM HEALING EXPERIENCES (LDHEs), where dreamers know that they dream while they dream. Some conditions appear to respond promptly and completely to lucid dream healing; others have not. A successful healing may depend upon such variables as the targeted condition, the technique used by the dreamer, the apparent success of the healing during the dream, or upon some personal idiosyncrasy of the individual involved. Although anecdotal evidence has only limited value within a scientific paradigm, it can point the way towards more rigorous investigations by bringing to light factors of potential importance. This preliminary questionnaire may help detect and isolate the factors involved. SECTION 1 - THE LUCID DREAM HEALING EXPERIENCE (LDHE) NAME ______________________________ ___/___/___ DATE OF DREAM ___/___/___ (AM/PM) TODAY'S DATE TIME OF DREAM: ___:___ PHYSICAL LOCATION AT TIME OF DREAM: ____________________________________ DID YOU HAVE THE DREAM AT: ___ HOME ___ HOTEL/MOTEL ___ HOSPITAL ___ OTHER (PLEASE DESCRIBE:__________________________________) Lucid Dream Healing Questionnaire © 1994 E. W. Kellogg III IN YOUR OWN WORDS, PLEASE DESCRIBE WHAT HAPPENED DURING YOUR LUCID DREAM HEALING EXPERIENCE (LDHE). PLEASE USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. (IF YOU HAVE WRITTEN A READABLE ACCOUNT IN YOUR DREAM DIARY, WE WOULD VERY MUCH APPRECIATE IT IF YOU WOULD ATTACH A PHOTOCOPY.)__________________________________________________ ___ _____________________________________________________________ ________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ ______ THE LUCIDITY CONTINUUM IN DREAM-LIFE AS IN WAKING-LIFE, LUCIDITY RANGES ACROSS A CONTINUUM, AND ONE CAN BEST EVALUATE IT BY THE DEGREE TO WHICH IT MANIFESTS. LUCIDITY CORRELATES WITH THE INCREASED FREEDOM OF CHOICE THAT RESULTS FROM THE DISCOUNTING OF PREVIOUSLY UNQUESTIONED ASSUMPTIONS. ON A SCALE OF 0 TO 5, HOW WOULD YOU RATE YOUR LUCIDITY DURING THE DREAM HEALING EXPERIENCE? ___ 0 PRE-LUCID IN THE DREAM, YOU NOTICE SOME SORT OF BIZARRENESS AS UNUSUAL FOR WAKING PHYSICAL REALITY (WPR). OR YOU DON'T CONSIDER YOURSELF IN ORDINARY PHYSICAL REALITY AT ALL, ALTHOUGH YOU REALIZE ALMOST NONE OF THE IMPLICATIONS AND STILL MIS-IDENTIFY THE ACTUAL SITUATION. ___ 1 SUB-LUCID VAGUELY REALIZE THAT YOU DREAM, BUT CONTINUE TO FOLLOW THE DREAM "SCRIPT": NO CONSCIOUS CHOICE. ___ 2 SEMI-LUCID STILL FOLLOW THE DREAM SCRIPT (KNOWING THAT YOU DREAM), BUT YOU CAN MAKE MINOR CHOICES IN KEEPING WITH DREAM 2 Lucid Dream Healing Questionnaire © 1994 E. W. Kellogg III REALITY. FOR EXAMPLE, YOU MIGHT CHOOSE TO FLY RATHER THAN WALK. ___ 3 LUCID YOU HAVE THE CHOICE OF FOLLOWING THE DREAM SCRIPT OR NOT, CAN MAKE MAJOR CHOICES BASED ON AWARENESS OF YOUR POTENTIALITIES IN THE DREAM STATE. FOR EXAMPLE, YOU MIGHT CHOOSE TO TRY A DREAM EXPERIMENT INSTEAD OF CONTINUING THE DREAM SCENARIO, ETC. ___ 4 FULLY-LUCID FULLY AWARE THAT YOU DREAM AND OF THE LOCATION AND STATE OF YOUR PHYSICAL BODY; ALSO REMEMBER ANY LUCID DREAM TASKS THAT YOU HAD EARLIER DECIDED TO TRY (LUCID DREAM HEALING, INTENTIONALLY CHANGING BODY FORM, PRECOGNITION, ETC.) ___ 5 SUPER-LUCID AWARE OF SELF AS AN INTEGRATED WHOLE: SELF -REMEMBERING. THINKING-FEELING-CREATING ASPECTS OF SELF WORKING IN HARMONY. EXTRAORDINARY SENSE OF SELF, ACCESS TO MEMORY, AND AN EXPANDED AND MINDFUL AWARENESS OF THE MANY POSSIBLE COURSES OF ACTION AVAILABLE TO YOU IN LUCID DREAM REALITY (LDR) AS COMPARED TO WAKING PHYSICAL REALITY (WPR) LUCIDITY CORRELATES ALTHOUGH LUCIDITY APPEARS TO CORRELATE MOST STRONGLY WITH THE AWARENESS OF DREAMING AND WITH THE IMPLICATIONS THAT FOLLOW THIS AWARENESS, A NUMBER OF OTHER FACTORS ALSO PLAY IMPORTANT ROLES. PLEASE RATE YOUR LUCID DREAM HEALING EXPERIENCE ON A SCALE FROM 0 TO 5 IN EACH OF THE FOLLOWING SPECIFIC AREAS: ABILITY ___ 0 ___ 1 ___ 2 ___ 3 ___ 4 ___ 5 TO THINK. MY THINKING ABILITY IN THE LDHE SEEMED: NON-EXISTENT POOR FAIR GOOD - EQUIVALENT TO IN WPR. EXCELLENT - BETTER THAN IN WPR. EXTRAORDINARY. MEMORY. DURING THE LDHE I WOULD RATE MY MEMORY AS: ___ 0 NON-EXISTENT ___ 1 POOR ___ 2 FAIR 3 Lucid Dream Healing Questionnaire © 1994 E. W. Kellogg III ___ 3 GOOD - EQUIVALENT TO IN WPR. ___ 4 EXCELLENT - BETTER THAN IN WPR. ___ 5 EXTRAORDINARY. EGO INVOLVEMENT. IN THE LDHE I SEEMED: ___ 0 TOTALLY PASSIVE - THINGS JUST HAPPENED. ___ 1 VAGUELY ACTIVE, BUT MOSTLY WENT WITH THE FLOW. ___ 2 SOMEWHAT ACTIVE, MADE A FEW CHOICES. ___ 3 AS ACTIVE IN MAKING CONSCIOUS CHOICES AS IN WPR ___ 4 MORE ACTIVE THAN IN WPR. ___ 5 EXTREMELY ACTIVE. MANY CONSCIOUS CHOICES AND BEHAVIORS. SENSE OF EMBODIMENT. DURING THE LDHE I FELT: ___ 0 TOTALLY DETACHED - NO AWARENESS OF A DREAM BODY. ___ 1 DETACHED, OBSERVED MY DREAM BODY FROM THE OUTSIDE. ___ 2 VAGUELY AWARE OF MYSELF IN MY DREAM BODY. ___ 3 AS EMBODIED AS IN WAKING PHYSICAL REALITY. ___ 4 MORE EMBODIED THAN IN WPR. ___ 5 FULLY PRESENT IN MY DREAM BODY. AWARE OF MY DREAM BODY IN GREAT DETAIL - IT FELT "REALER THAN REAL". SENSE ___ ___ ___ ___ ___ ___ OF SIGHT. DURING THE LDHE I SAW: 0 NOTHING. 1 DETACHED, OBSERVED MY DREAM BODY FROM THE OUTSIDE. 2 POORLY. VAGUE SHAPES AND DIM LIGHTING. 3 AS CLEARLY AS IN WAKING PHYSICAL REALITY. 4 CLEARLY IN SHARP DETAIL. VIVID COLORS. 5 WITH SUPERNATURAL CLARITY - PSYCHEDELIC INTENSITY. EMOTIONAL TONE. IN THE LDHE I FELT: ___ 0 NEUTRAL - NO EMOTION AT ALL. ___ 1 VAGUE EMOTION ___ 2 MILD EMOTION ___ 3 MODERATE EMOTION ___ 4 STRONG EMOTION ___ 5 OVERWHELMING EMOTION WHAT KIND(S) OF EMOTION DID YOU EXPERIENCE DURING THE LDHE? ___ ANXIETY ___ FEAR ___ ANGER ___ SADNESS ___ CURIOSITY ___ PEACEFULNESS 4 Lucid Dream Healing Questionnaire © 1994 E. W. Kellogg III ___ A SENSE OF WELL-BEING ___ HAPPINESS ___ JOY ___ ECSTASY ___ OTHER (PLEASE DESCRIBE: ________________________________________) REALITY ___ 0 ___ 1 ___ 2 ___ 3 ___ 4 ___ 5 TONE. THE DREAM EXPERIENCE SEEMED: TOTALLY UNREAL. SLIGHTLY REAL - LIKE A GOOD MOVIE. MODERATELY REAL. AS REAL AS ORDINARY WPR. EVEN MORE REAL THAN WPR. OVERWHELMINGLY REAL. DREAM CONTROL. IN THE LDHE I HAD: ___ 0 NO CONTROL OF ANYTHING. ___ 1 MINIMAL CONTROL OF MY DREAM BODY AND DREAM ENVIRONMENT. ___ 2 GOOD, BUT MUNDANE CONTROL OF DREAM BODY AND ENVIRONMENT. ___ 3 SUPERIOR CONTROL - ABLE TO FLY, WALK THOUGH WALLS, ETC. ___ 4 "MAGICAL" CONTROL - COULD CHANGE DREAM BODY, DREAM ENVIRONMENT MORE OR LESS AS I WISHED. ___ 5 EXTRAORDINARY CONTROL - MY EVERY WISH CAME TRUE SENSE OF SELF. DURING THE LDHE I HAD: ___ 0 NO AWARENESS OF SELF, ONLY OF THE DREAM. ___ 1 VERY LITTLE SENSE OF SELF; LIKE WHEN I WATCH TELEVISION. ___ 2 MODERATE SENSE OF SELF - BUT "SPACEY" - NOT VERY "WITH IT". ___ 3 SENSE OF SELF AS IN ORDINARY WPR. ___ 4 I FELT MORE REAL, MORE PRESENT THAN IN WPR. ___ 5 I FELT TRULY "MYSELF", MORE COMPLETE THAN EVER BEFORE. LDHE PHENOMENA PLEASE CHECK OFF ANY OF THE CATEGORIES OF PHENOMENA THAT APPLY TO YOUR LUCID DREAM HEALING EXPERIENCE. IGNORE ANY CATEGORIES THAT DO NOT APPLY: 5 Lucid Dream Healing Questionnaire © 1994 E. W. Kellogg III 1. ___ I HEALED MY DREAM BODY. a. ___ JUST WILLED THE HEALING b. ___ MADE AN AFFIRMATION c. ___ PRAYED d. ___ LAYING ON OF HANDS e. ___ OTHER (PLEASE DESCRIBE: ______________________________________) PLEASE DESCRIBE WHAT, IF ANYTHING, HAPPENED ( FOR EXAMPLE, "A GOLDEN LIGHT EMANATED FROM MY HANDS...) ________________________________________________________ _______________ ________________________________________________________ _______________ ___________________________________________________ ____________________ 2. ___ A DREAM CHARACTER HEALED MY DREAM BODY. HE/ SHE/ IT: a. ___ WILLED THE HEALING b. ___ MADE AN AFFIRMATION c. ___ PRAYED d. ___ USED LAYING ON OF HANDS e. ___ OTHER (PLEASE DESCRIBE: ______________________________________) PLEASE DESCRIBE WHAT, IF ANYTHING, HAPPENED ( FOR EXAMPLE, "THE DOCTOR SPRAYED MY INFECTION WITH AN ANTIBIOTIC...) ________________________________________________________ _______________ ________________________________________________________ _______________ ___________________________________________________ ____________________ 3. ___ I HEALED ANOTHER DREAM CHARACTER. AND/OR ASPECT OF MYSELF. a. ___ JUST WILLED THE HEALING b. ___ MADE AN AFFIRMATION c. ___ PRAYED d. ___ LAYING ON OF HANDS e. ___ OTHER (PLEASE DESCRIBE: ______________________________________) 6 Lucid Dream Healing Questionnaire © 1994 E. W. Kellogg III PLEASE DESCRIBE WHAT, IF ANYTHING, HAPPENED ( FOR EXAMPLE, "AFTER THE AFFIRMATION THE SKIN HEALED ...) ________________________ ________________________________________________________ _______________ ________________________________________________________ _______________ ___________________________________________________ ____________________ 4. ___ I PERFORMED AN ACT SYMBOLIC OF HEALING. a. ___ JUST WILLED THE CHANGE b. ___ MADE AN AFFIRMATION c. ___ PRAYED d. ___ LAYING ON OF HANDS e. ___ OTHER (PLEASE DESCRIBE ______________________________________) PLEASE DESCRIBE WHAT, IF ANYTHING, HAPPENED ( FOR EXAMPLE, "I REPAIRED THE TRANSMISSION OF MY CAR ...) __________________________ ________________________________________________________ _______________ ________________________________________________________ _______________ ___________________________________________________ ____________________ WHAT DO YOU THINK THE SYMBOLIC ACT REPRESENTED? _______________ ________________________________________________________ _______________ 5. ___ I RECEIVED INFORMATION IN THE DREAM THAT PROMOTED A HEALING WHEN APPLIED LATER IN PHYSICAL REALITY. PLEASE DESCRIBE INFORMATION:______________________________________ ________________________________________________________ _______________ DID YOU RECEIVE THE INFORMATION FROM: a. ___ A DREAM CHARACTER b. ___ A DREAM BOOK OR PAPER c. ___ THE DREAM SYMBOLISM /CONTEXT 7 Lucid Dream Healing Questionnaire © 1994 E. W. Kellogg III d. ___ OTHER( ________________________________________________ ) 6. ___ I EXPERIENCED A PSYCHOLOGICAL TRANSFORMATION/HEALING. PLEASE DESCRIBE:_______________________________________________ ______ ________________________________________________________ _______________ ________________________________________________________ _______________ ________________________________________________________ ________________ 7. PLEASE DESCRIBE IN DETAIL THE CONDITION THAT YOU ATTEMPTED TO HEAL IN A LUCID DREAM:____________________________________________________ ________________________________________________________ _______________ ________________________________________________________ _______________ ________________________________________________________ ________________________________________________________ ______________________________ a. HAVE YOU EVER HAD THE CONDITION BEFORE? YES___ NO___ IF YES, AND IF YOU HAD AN ACUTE CONDITION, HOW LONG WOULD YOU HAVE EXPECTED THE CONDITION TO LAST ? ________________________________________________________ _______________ b. HAVE YOU EVER GONE TO A MEDICAL DOCTOR FOR THIS CONDITION? YES ___ NO___ IF YES, DESCRIBE THE MEDICAL DIAGNOSIS:____________________________ ________________________________________________________ _______________ 8. ASIDE FROM THE LDHE, HOW DID YOU TREAT THE CONDITION? _____________ 8 Lucid Dream Healing Questionnaire © 1994 E. W. Kellogg III ________________________________________________________ _______________ ________________________________________________________ _______________ 9. DID YOU DO ANYTHING ELSE UNUSUAL THAT MIGHT HAVE AFFECTED THE OUTCOME OF THE CONDITION?________________________________________________ ________________________________________________________ _______________ ___________________________________________________ ____________________ 10. HOW LONG DID THE CONDITION LAST AFTER THE LUCID DREAM HEALING? ________ SECTION 2 - LUCID DREAMING SKILLS 1. HOW LONG HAVE YOU HAD LUCID DREAMS? ____ YEARS 2. WHEN DID YOU HAVE YOUR FIRST LUCID DREAM? ____ YEARS OF AGE 3. HOW OFTEN DO YOU ORDINARILY HAVE LUCID DREAMS? USE YOUR BEST GUESS IN WHATEVER CATEGORY SEEMS MOST APPROPRIATE: ___ TIMES/IN LAST TEN YEARS ___ TIMES/YEAR ___ TIMES/MONTH ___ TIMES/WEEK ___ TIMES/DAY 4. CHECK OFF THE CATEGORIES OF ACTIVITIES THAT YOU HAVE PERFORMED AT LEAST ONCE IN ANY OF YOUR LUCID DREAMS: ___ FLYING ___ TELEPORTING ___ WALKING THROUGH WALLS ___ PSYCHOKINESIS (MOVING DREAM OBJECTS THROUGH WILL) ___ TRANSFORMING OBJECTS ___ MATERIALIZING OF OBJECTS ___ MATERIALIZING A SPECIFIC DREAM CHARACTER ___ DEMATERIALIZING OBJECTS 9 Lucid Dream Healing Questionnaire © 1994 E. W. Kellogg III ___ CHANGING YOUR DREAMBODY SIZE ___ CHANGING YOUR DREAMBODY SHAPE ___ CREATING ENERGY FORMS (LASER BEAMS, LIGHTNING BOLTS, ETC.) ___ REQUESTING AND RECEIVING INFORMATION ON A TOPIC ___ OTHER (PLEASE DESCRIBE:______________________________________) 5. HAVE YOU HAD AN OUT-OF-THE-BODY EXPERIENCE? ___ YES ___NO a. IF YOU SAID YES, ABOUT HOW MANY OBEs HAVE YOU HAD? ____ b. IF YOU SAID YES, DO YOU CONSIDER AN OBE: ___ JUST A SPECIAL TYPE OF LUCID DREAM ___ SOMETHING SIMILAR, BUT NOT A DREAM ___ OTHER( DESCRIBE: __________________________________________) ___ DON'T KNOW SECTION 3 - PERSONAL INFORMATION NAME: _________________________________ DATE __/__/__ ADDRESS: STREET ________________________________________________ ________________________________________________________ __________ CITY _________________________________ STATE ________________ ZIP CODE ______________ TELEPHONE # HOME: (___) ___-____ WORK: (___) ___-____ FAX: (___) ___-____ IN REFERRING TO THE SOURCE OF THIS MATERIAL, WOULD YOU PREFER THAT WE USE: A PSEUDONYM? YES___ NO ___ IF OTHER DREAMWORKERS WANT TO CONTACT YOU DIRECTLY, DO YOU WANT US TO: ___ GIVE THEM YOUR NAME, ADDRESS, AND TELEPHONE NUMBER. ___ HAVE THEM SEND MAIL TO US WHICH WE WILL FORWARD TO YOU. ___ TELL THEM THAT YOU HAVE NO INTEREST IN FURTHER RESEARCH. 10 Lucid Dream Healing Questionnaire © 1994 E. W. Kellogg III Thank you for filling out this questionnaire. If you have had any additional lucid dream healing experiences, please request as many additional copies of Section 1 as you need. We feel interested in both successful and unsuccessful LDHEs and would greatly appreciate any information you can provide.