Name

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Month of Dream Month of DreamJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Year of Dream

Title of Dream (if you have one)

Please select to indicate your position in the dream Please select to indicate your position in the dream Participating in the dream (you were part of what was going on but not the centre of attention) Observing (watching what was happening like you would with a TV show) The centre of Attention (everything revolved around you)

The Dream - tell us as much as you can about the dream

Additional Comments - include relationships to any people in the dream - e.g. Paul is my brother/boss/boyfriend etc.

What colour was the dream? What colour was the dream? Colour Black and white MIxture Don't remember

Atmosphere - how did the dream feel? Atmosphere - how did the dream feel? Calm and Peaceful Dark and scary Exciting Don't Remember Other (Specify below)

Other atmosphere - please specify

Your Interpretation (please include as much information as you can in terms of what you feel various symbols mean as well as pulling together what you feel the message of this dream might be)