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Online Sleep Apnea Questionaire

Question Never Sometimes Always
Sleep Habits
Do you snore at night?
Do you sometimes stop breathing for noticeable periods of time during sleep?
Do you wake up gasping for breath?
Do you dread going to sleep because of problems that occur at night?
Do you wake up and have trouble getting back to sleep?
Do you wake up earlier in the morning than I would like to?
Do you get up multiple times to go to the bathroom?
Do you drink alcohol before going to bed?
Health
Do you feel low on energy?
Do you wake up with headaches?
Do you wake up with dry mouth?
Mood and Relationships
Are you told that you don't act like yourself?
Are you irritable with friends and family?
Do you feel out of touch with friends and family because you don't have the energy to properly engage them?
Do you feel sad or depressed because you can not sleep?
Do you have trouble sexually?
Awareness
Do you often feel "brain fog" or in a daze?
Do you feel sleepy and struggle to remain alert during the day?
Do you fight to stay awake while driving?
Do you arrive home without remembering driving there?
Do you fall alseep in mid-conversation?
Do you have trouble focusing on work?
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