Take a minute to complete this simple test:

Do you snore? Yes No
Do you feel sleepy throughout the day? Yes No
Is it difficult to stay awake while watching TV, driving, reading, etc.? Yes No
Has anyone told you that you hold your breath, move restlessly or make a snoring noise while sleeping? Yes No
Are you fatigued, irritable or have problems concentrating? Yes No
Are you overweight? Yes No
Do you have high blood pressure? Yes No
Do you ever wake up choking, gasping for air or have a skipping or racing heartbeat during the night? Yes No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sleepcare Diagnostics - 4780 Socialville-Fosters Road - Mason, Ohio 45040 - 513-459-7750 - 800-770-7540
Established 1985 - Accredited by American Academy of Sleep Medicine
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