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ETMC Sleep Disorders Center

Helping you rest better

Questionnaire




Do you find yourself sleepy during the day?

Do you doze off while reading, watching television or during other quiet activities?

Have you been told you snore excessively?

Do you have a weight problem?

Do you awake in the morning with headaches?

Do you awake at night gasping for air?

Do you find your heart beating irregularly at night?

Do you wake regularly without feeling refreshed?

Do you find yourself dozing while driving?

Is your work or family life affected by sleep problems?



If you answered yes to two or more of the above questions, seek more information about sleep disorders such as sleep apnea from the
ETMC Sleep Disorders Center at 1-866-535-6568

Many sleep disorders can be treated.