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Take this short evaluation to see if you are at risk for having obstructive sleep apnea.
Contact us by filling out the form below.
First Name
*
Last Name
*
Email
*
Phone
What City Do You Live In?
Do You Snore?
*
Yes
No
Is snoring so loud that it can be heard through a door or wall?
*
Yes
No
Do you stop breathing or gasp during sleep?
*
Yes
No
What is your collar size?
*
Male - Less than 17 inches (0)
Male - Greater than 17 inches (5)
Female - Less than 14 inches (0)
Femail - Greater than 14 inches (5)
Not Sure
Do you have high blood pressure?
Yes
No
Not Sure
Do you occassionally doze, or fall asleep during the day when you're not busy or active?
Yes
No
Are you overweight?
*
Yes
No
Not Sure
Total Score
*
0-5: Low Risk
6-8: Moderate Risk
9+: High Risk
Send
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