1

I've been told that I snore.

Yes
No

2

I've been told that I stop breathing while I sleep, although I don't remember this when I wake up.

Yes
No

3

I have high blood pressure.

Yes
No

4

I get morning headaches.

Yes
No

5

I sweat excessively during the night.

Yes
No

6

I am overweight.

Yes
No

7

Sometimes I feel sleepy during the day even though I have slept through the night.

Yes
No

8

I have trouble at work because of sleepiness.

Yes
No

9

During the night, I suddenly wake up gasping for breath.

Yes
No

10

I have trouble sleeping when I have a cold.

Yes
No

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