Test the Quality of your Sleep: (All fields are required to complete the test)
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Here is a quick test that can help to determine the quality of your sleep.

If you experience any of the following symptoms on a regular basis,

you should consider a solution to your problem. We can help.

 

  Yes No
1. Loud snoring?
2. Gasping for breath?
3. High blood pressure? 
4. Personality changes?
5. Weight gain?
6. Night sweats?
7. Irregular heartbeats?
8. Morning headaches?
9. Loss of sex drive?
10. Paralysis with strong emotions?
11. Falling asleep while driving ?
12. Vivid dreams?
13. Falling asleep during physical effort?
14. Trouble at work or school?
15. Temporary paralysis upon wakening?
16. Heartburn?
17. Chronic cough?
18. Morning hoarseness?
19. Night coughing or wheezing?
20. Frequent sore throats?
21. Daytime sleepiness?
22. Muscle tension in legs?
23. Night kicking?
24. Night leg pain?
25. Night leg movement?
26. Awaken with sore or aching muscles?
27. Racing thoughts?
28. Premature awakening?
29. Worrying excessively?
30. Delayed sleep onset?
31. Sadness and depression?
     
   
SITUATION CHANCE OF DOZING
Sitting and reading
Watching TV
Sitting inactive in a public place (e.g. a theater or a meeting)
As a passenger in a car for an hour without a break
Lying down to rest in the afternoon when circumstances permit
Sitting and talking to someone
Sitting quietly after a lunch without alcohol
In a car, while stopped for a few minutes in traffic
   
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