Adult Sleep Questionnaire 

  • Adult Sleep Questionnaire 

  • While Sleeping Do You...

  • Snore more than half the time?*
  • Always snore?*
  • Snore loudly?*
  • Have ‘heavy’ or loud breathing?*
  • Have trouble breathing or struggle to breathe?*
  • Have you ever stopped breathing while sleeping?*

  • Do You...

  • Tend to breathe through the mouth during the day?*
  • Have a dry mouth on waking up in the morning?*
  • Wake up feeling un-refreshed in the morning?*
  • Have problems with sleepiness during the day?*
  • Is it hard for you to wake up in the morning?*
  • Do you wake up with headaches in the morning?*
  • Did you stop growing at a normal rate at any time since birth?*
  • Are you overweight?*
  • Should be Empty: