Take the Sleep Survey
Check all that apply to you
Do you snore loudly on a regular basis?
Yes
No
Do you stop breathing or gasp for breath during your sleep?
Yes
No
Do you feel sleepy or doze off while: watching tv, reading, riding in a car or performing other quiet day-time activities?
Yes
No
Do you have hypertension or a history of heart disease?
Yes
No
Do you feel an unpleasant tingling, creeping or nervousness in your legs while resting or trying to fall asleep?
Yes
No
Do you have a neck size of more than 17" for a man or 16" for woman?
Yes
No
Do you have frequent interruptions of sleep, because you urinate more than 2 times per night, have heartburn, or feel like you are suffocating during sleep?
Yes
No
Do you experience regular episodes of insomnia?
Yes
No
I would like more information about how I can sleep well and live a healthier life. Please contact me at
Submit
Should be Empty: