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Adult Sleep Apnea Assesment

Adult Sleep Apnea Assesment

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31Questions

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  • 1
    Tell us your name so we can get to know you better.
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  • 2
    Please share your phone number with us so we can follow up with you regarding your assessment.
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  • 3
    Sleep apnea is a sleep disorder characterized by repeated interruptions in breathing during sleep, leading to poor sleep quality and excessive daytime sleepiness. The most common type is obstructive sleep apnea, caused by airway blockage.
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  • 4
    Please list the office name and location where you were diagnosed
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  • 5
    A CPAP (Continuous Positive Airway Pressure) machine is a medical device used to treat sleep apnea. It delivers a steady stream of air through a mask that keeps the airway open during sleep, preventing interruptions in breathing.
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  • 7
    A dental device for sleep apnea, often referred to as an oral appliance, is a custom-made device designed to be worn in the mouth during sleep. It works by repositioning the jaw and tongue to keep the airway open, thereby reducing or eliminating breathing interruptions associated with sleep apnea.
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  • 20
    Note: This refers to your usual way of life in recent times. If you have not done some of these things recently, try to determine if it's likely or not you would fall asleep in.
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  • 21
    This number is based on your answers to the above question, "How likely are you to doze off or fall asleep (not just feel tired) in the following situations?"
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  • 32
    Please read through and submit these Terms and Conditions
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