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(813) 733-4169
26907 Foggy Creek Rd, Suite 101
Wesley Chapel, FL 33544
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(813) 733-4169
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Sleep Apnea Quiz
Have you been diagnosed with sleep apnea?
Yes
No
Have you been told that you snore?
Yes
No
Do you awaken from sleep with chest pain or shortness of breath?
Yes
No
Has anyone said that you seem to stop breathing while sleeping?
Yes
No
Do you dream?
Yes
No
Not sure
How would you describe your sleep?
Restful
Disruptive
Non-existent
Do you have a CPAP?
Yes, use every night
Yes, use sporadically
No
Do you have/have you had any of the following (select all that apply):
Diabetes
Shortness of breath
Stroke
Atrial fibrillation
High blood pressure
Coronary artery disease
Congestive heart failure
Submit