HEALTH ASSESSMENT

Simple Sleep Quiz

More than 20 million Americans suffer from Obstructive Sleep Apnea (OSA). Despite this high prevalence, 93% of women and 82% of men with moderate to severe OSA remain UNDIAGNOSED and UNWARE that they have a deadly disease.

Please complete this short questionnaire to determine your risk of OSA. Your information is confidential and will only be share with healthcare providers for diagnostic and treatment purposes.

1Contact Information
2Epworth Sleepiness Scale
3Health Symptoms:
Please enter your contact information to complete this brief health assessment.
Name(Required)