Sleep Apnea Questionnaire


If you’re not getting the sleep you need, you should know that the consequences can be dangerous. Lack of sleep can lead to serious – even fatal – health consequences.


Take the Sleep Disorder Questionnaire to learn more about your pain. Submit your answers then we will respond shortly with our recommendations.

  • HOW LIKELY ARE YOU TO DOZE OFF OR FALL ASLEEP IN THE FOLLOWING SITUATIONS?

    Please choose the most appropriate answer for each situation. Sum up the numbers at the bottom;

    0 = Would never doze
    1 = SLIGHT chance of dozing
    2 = MODERATE chance of dozing
    3 = HIGH chance of dozing
  • CATEGORY 1

    Please choose the correct response to each question;
  • CATEGORY 2

  • CATEGORY 3

  • Please tick all that apply to you:
  • This field is for validation purposes and should be left unchanged.