How To Get Started With Your Treatment
Use this brief questionnaire and checklist to determine if you might be at risk for sleep apnea.
At Night Do You...* SnoreAwaken FrequentlyWake Up Gasping or ChokingWake Up Frequently to UrinateGrind Your TeethStop Breathing While SleepingNone of These
During the Day Do You...* Feel Sleepy or Unintentionally DozeHave Headaches in the Morning?Have Difficulty With Memory or Concentration?Awake Tired Even After a Full Night’s SleepBreathe Through Your Mouth?None of the Above
At Risk Checklist (Check all that apply)* Overweight or ObeseNeck Size > 17 (men)Neck size > 15 (women)Coronary Artery DiseaseStrokeHigh Blood PressureNeck size > 15 (women)Congestive Heart FailureInsomniaAcid Reflux or HeartburnType II DiabetesDepressionErectile DysfunctionNone of the Above
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Best Time to Call* MorningAfternoonEvening
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