Sleep Self-Screening Test

• Have you been told that you snore excessively, or that your breathing is interrupted while you sleep?
• Do you wake up gasping for air?
• Do you feel sleepy or fatigued during the day?
• Do you doze off while watching television, reading, or driving?
• Do you have trouble losing weight?
• Do your legs often jerk or feel uncomfortable (restless) before or during sleep?
• Do you have trouble falling asleep at night?
• Do you wake up with a headache?
• Do you experience memory loss?
• Do you find your heart beating irregularly at night?
• Do you awake in the morning without feeling refreshed?
• Do you have an unusually short or thick neck?
• Do you grind your teeth?
• Do you sleep walk?
• Do you experience depression or anxiety?

If you answered YES to two or more of these questions, you would benefit from having a sleep study.
Contact us at (671) 64-SNOOZ (647-6669) or download the doctor referral form.