SLEEP APNEA QUIZ

Sleep Apnea Quiz

Do you believe you might be suffering from undiagnosed sleep apnea?

Take our quiz to find out more information. After you submit the quiz, we will be in touch shortly.

Contact Us

Name:

Email:

Phone Number:

Age:

Weight:

Gender:

Have you ever had an evaluation at a sleep center?:

Yes

Do you have a CPAP device?:

Yes

Have you ever attempted sleep/snoring therapy?:

Yes

If yes, please provide details:

How likely are you to doze off or fall asleep in the following situations?

Sitting and reading:

Watching TV:

Sitting in a public place (e.g.: theatre, meeting or church):

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 lunch without alcohol:

In a car, while stopped for a few minutes in traffic:

Ready for your restless nights
to stop?

Contact us today to get started

Ready for your restless nights to stop?

CONTACT

(202)923-7393

cpapintolerance@gmail.com

HOURS

Monday - Friday 9:00 AM - 7:00 PM
Saturday 10:00 AM -5:00 PM
Sunday Available By Appointment

Dental Sleep Medicine
Cranio Facial Pain

We have multiple locations in Washington DC and Virginia

3450 Old Washington Road, Suite 102, Waldorf, MD 20602

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Sleep Apnea Quiz

Contact Us

How likely are you to doze off or fall asleep in the following situations?

Ready for your restless nights to stop?

Contact us today to get started

Ready for your restless nights to stop?

CONTACT

(202)923-7393

cpapintolerance@gmail.com

HOURS

Monday - Friday 9:00 AM - 7:00 PMSaturday 10:00 AM -5:00 PM Sunday Available By Appointment

Dental Sleep MedicineCranio Facial PainWe have multiple locations in Washington DC and Virginia3450 Old Washington Road, Suite 102, Waldorf, MD 20602

Ready for your restless nights
to stop?

Monday - Friday 9:00 AM - 7:00 PM
Saturday 10:00 AM -5:00 PM
Sunday Available By Appointment

Dental Sleep Medicine
Cranio Facial Pain

We have multiple locations in Washington DC and Virginia

3450 Old Washington Road, Suite 102, Waldorf, MD 20602