Step 1 of 3

Tell us about yourself

Let’s find out about the physical characteristics that affect your health.

Your gender *

MaleFemale

Your neck size *

in

Step 2 of 3

Have you been diagnosed or treated for:

Select any condition you have been treated for:

Step 3 of 3

Feeling sleepy?

How likely are you to doze off or fall asleep (more than just feeling tired) in the following situations?

Try to think about how these things would typically affect you.

Activity

No

Yes

Do you snore more than 3 nights per week? *

FemaleFemale

Have you, your partner, or a family member noticed or commented on your loud snoring? *

FemaleFemale

Has anyone told you that you stop breathing while you are sleeping? *

FemaleFemale

Do you often experience fatigue or sleepiness in the daytime? *

FemaleFemale

Do you have difficulty remembering things or concentrating? *

FemaleFemale