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Sleep Quiz
This free quiz can change your life. Find out now if you are at risk for Sleep Apnea!
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1
Name
First Name
Last Name
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2
Email
*
This field is required.
example@example.com
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3
Gender
*
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Male
Female
N/A
Male
Female
N/A
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4
Birth Date
*
This field is required.
-
Month
Day
Year
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5
Height
*
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Height in inches
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6
Weight
*
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Weight in lbs
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7
Neck Size (around the Adam's apple)
*
This field is required.
For men, is your neck 17 inches / 43 cm or larger? For women, is your neck 16 inches / 41 cm or larger?
Larger
Smaller
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8
Do you have or have you ever been treated for high blood pressure?
*
This field is required.
YES
NO
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9
Have you ever been told that you snore?
*
This field is required.
YES
NO
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10
Has anyone told you that you stop breathing or choke/gasp during your sleep ?
*
This field is required.
YES
NO
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11
Do you often feel tired, fatigued, or sleepy during the daytime?
*
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YES
NO
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