Hamburg Nightmare Questionnaire (HNQ)

Date*

Date

Name*

First NameLast Name

Date of Birth

Date

1. Do you have nightmares*

If no, the questionnaire with attachment is hereby completed.

2. How long have you had nightmares for?

Since... *

Write down number of days, weeks, months or years

Select days, weeks, months or years

3. How often do you have nightmares?

Number of Times Per [night, week, month, year]*

Write down number of times per ______________ (then select time specifier below; night, week, month, year)

Select one*

Select time specifier for how often you have nightmares

4. Does the content of at least one nightmare reflect an event that you actually experienced?*

5. How are your nightmares divided into the following categories (Total value should be 100%)

a. Percent (%) that the nightmare repeats a waking experience almost as you experienced it*

Provide your best estimate.

b. Percent (%) that the nightmare contains a reference to an awful experience with many additional elements*

Provide your best estimate.

c. Percent (%) that the nightmare has no direct relation to a horrible waking experience.*

Provide your best estimate.

6. What are the contents / themes of your nightmares? Please describe these.*

Please read the following statements carefully and assess the extent to which the statements apply to you and your nightmares.*

	1 Strongly disagree	2 Disagree	3 Neither agree nor disagree	4 Agree	5 Strongly agree
1. The memories of my nightmares scare me
2. I wake up sweat-drenched from the nightmare.
3. The nightmares remind me of stressful situations.
4. When I wake up, I can think of something other than the nightmare.
5. The content of the nightmares is blurry / confused
6. I feel like I am delivered to my dreams.
7. I wake with my heart racing from the nightmare.
8. I experience a past situation in the nightmare.
9. Upon awakening from the nightmare, I know everything I alright.
10. I can barely remember the details of the dream.
11. My nightmares torment me.
12. I wake up from the nightmare and am out of breath.
13. I did not experience the nightmare situations in reality.
14. After the nightmare I can calm. myself down.
15. I am afraid of my nightmares.
16. The events in my nightmares did not really happen.
17. After waking up, I know immediately that I was just dreaming.

Please read the following statements carefully and assess the extent to which the statements apply to you, especially the day after the nightmare[s]*

	1 Not at all	2 A bit	3 Partly	4 Strongly	5 Totally
1. How much do the nightmares affect your social environment / close friends?
2. How much do you feel limited by the nightmares on duty?
3. How strongly is your family life affected by your nightmares?
4. How much do the nightmares limit your physical performance?
5. How strongly is your mental capacity affected by the nightmares?
6. How strongly do the nightmares affect your mood during the day?
7. How strongly do the nightmares affect your everyday life?