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Sleep Study Questionnaire

To find out if you are at risk of Obstructive Sleep Apnea please fill in the form.

You will need to know your Body Mass Index (BMI). You can use the calculator below to get your BMI.

#1. Do you snore loudly?

#2. Do you often feel tired, fatigued, or sleepy during the daytime?

#3. Has anyone observed you stop breathing during sleep?

#4. Do you have (or are you being treated for) high blood pressure?

#5. What is your BMI?

#6. What is your age?

#7. Neck circumference

#8. Are you male or female?

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Results

Even though your score is low, we still recommend a sleep study for anyone that has troubles sleeping.
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You are a high risk candidate.

Our sleep study can help you with a diagnosis and treatment plan.

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