Sleep issues affect millions of Americans each year and range from inability to sleep to non-restorative sleep. Many people feel not rested despite sleeping enough hours or deal with snoring and anatomical issues causing airway obstruction when sleeping. The following survey is quick and can provide an insight into the severity of these issues. If you experience poor sleep, we encourage you take the survey and suggest you submit the results so we can schedule a time to meet you and address these concerns.

Use the number scale below to rate the most appropriate response to the situation listed below:

0 – Would never doze off
1 – Slight chance of dozing
2 – Moderate chance of dozing
3 – High chance of dozing