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Sleep Apnea Quiz
How likely are you to doze off or fall asleep in the following situations?
Even if you have not done so within the last week or so, think of times you have had these issues in the past 3-6 months before selecting your answer. After you're done we'll contact you with your results and our recommendation on how we can help.n
1
Quiz
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My information
How likely are you to doze off or fall asleep in the following situations?
Watching TV
*
Would Never Doze
Slight Chance of Dozing
Moderate Chance of Dozing
High Chance of Dozing
Sitting inactive in a public place (ex: movie theater, or meeting)
*
Would Never Doze
Slight Chance of Dozing
Moderate Chance of Dozing
High Chance of Dozing
As a passenger in a car for an hour or more without a break.
*
Would Never Doze
Slight Chance of Dozing
Moderate Chance of Dozing
High Chance of Dozing
Lying down to rest in the afternoon when circumstances permit
*
Would Never Doze
Slight Chance of Dozing
Moderate Chance of Dozing
High Chance of Dozing
Sitting and talking to someone
*
Would Never Doze
Slight Chance of Dozing
Moderate Chance of Dozing
High Chance of Dozing
Sitting quietly after lunch without alcohol
*
Would Never Doze
Slight Chance of Dozing
Moderate Chance of Dozing
High Chance of Dozing
In a car, while stopped for a few minutes in a traffic or at a stop light
*
Would Never Doze
Slight Chance of Dozing
Moderate Chance of Dozing
High Chance of Dozing
Great! We'll contact you shortly about our recommendation for you.
Name
*
First
Last
Phone
*
Email
*
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