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Entry Data
Date: M: D: Y:
Time To Bed:
(Example: 11:00 PM
or simply: 11) 		(Default: PM) Time Awake:
(Example: 6:00 AM) 		(Default: AM)
Time Back To Bed:
(Example: 7:00 AM) 		(Default: AM) Final Time Awake:
(Example: 8:00 AM) 		(Default: AM)
Excitement Level: Newness:

Results
Could not sleep Fell asleep Dream(s)
Vivid dream(s) Lucid dream(s) Near exit
Transparent eyelids False awakening Mental projection
Traditional OBE Phasing OBE Multiple OBEs
 
Sleep Hovering Effectiveness
Fell asleep on all intervals Awoke on all beeps
 
Equipment
Light on in room Used earplugs Used eyemask
Wore socks
 
Timer
Used computer timer Used timer CD Used other timer
Used no timer
 
Paralysis And Body Falling Asleep
Single sleep breath Several sleep breaths Continual sleep breaths
Feel body fall asleep Heavy feeling Partial paralysis
Full paralysis
 
Body Orientation Sensations
Spinning sensation Falling sensation Dizziness
 
Vibrations
Partial vibrations Light full body vibrations Heavy vibrations
 
Rushing Sounds
Rushing noise Popping sound
 
Mental Imagery, Sounds
Strobes, flashes Memory impressions Continual direct impressions
Hazy but direct images, sounds Direct images, sounds Dull animated images
Vivid images, sounds Vivid animated images
 
Specific Imagery
Dots floating in blackness Door floating in blackness Blank blue screen
Control panel Video screen Tube or tunnel
 
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