Sleep Apnea Evaluation

The Sleep Apnea Evaluation Quiz is an important tool designed to both quickly and easily determine if a sleep disorder could possibly be present or be a factor in your overall health and well being.

Sleep apnea is an extremely serious condition that causes a person to wake up constantly throughout the night from respiratory disturbances like sleep apnea (when you stop breathing). Sleep apnea will cause medical conditions to occur, and existing medical conditions to worsen or make more difficult for you and your doctor to manage. Hypertension (high blood pressure, eventually renal failure), diabetes, heart failure, and stroke are very common in people who suffer from sleep apnea.

Taking this quiz and the results provided in no way substitutes for a medical assessment or diagnostic procedure, but serves as a useful guide to help focus future consultations.

Your Name:

Preferred Phone:

Email Address:

	Yes No
Have you been told you snore?
Does your bed partner snore?
In the morning, do you awaken refreshed?
During the day, are there times when you are tired?
Do you wake up in the middle of the night?
Do you wake up with a morning headache?

How many cups of coffee does it take to get you going in the morning?

Please enter code above in the field below.