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Sleep Test

Take the test below to see how likely it is that you suffer from a sleep disorder, including sleep apnea.

* Indicates required fields


Personal Information
*Name:
* Email:
*Weight:
*Height:   


Sleepiness
How likely are you to doze off or fall asleep in the following situations in contrast to just feeling tired? This refers to how you usually feel in recent weeks. If you have not done some of these things recently, try to evaluate how they would have affected you.

1. Sitting and reading:


2. Watching television:


3. Sitting inactive in a public place such as a theater or meeting:


4. As a passenger in a car for an hour without a break:


5. Lying down to rest in the afternoon:


6. Sitting and talking:


7. Sitting quietly after lunch (without alcohol):


8. In a car while stopped in traffic:




Sleep Apnea
Please answer the following questions regarding your snoring.

1. Do you snore?


2. If yes, your snoring is:


3. How often do you snore?


4. Has your snoring ever bothered other people?


5. Has anyone noticed that you quit breathing during your sleep?


6. How often do you feel tired or fatigued after your sleep?


7. During your wake time, do you feel tired, fatigued or not up to par?


8. Have you ever nodded off or fallen asleep while driving a vehicle?


9. Do you have high blood pressure?


10. Would you like a sleep disorders specialist to contact you if your test results are high?





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