Sleep Quiz

Answer these ten questions to see if you need a sleep evaluation.
If you answer/check “yes” to any of the following questions, the number to place on the score line is indicated in the parentheses with that question.

Call Today to Schedule an Appointment 256-428-8232

Alabama Sleep
Disorders Center

185 Chateau Drive, Suite 302
Huntsville, AL 35801

phone: 256-428-8232
fax: 256-428-0438

1.	Are you tired during the day? Yes No
2.	Do you snore? Yes No
3.	Do you believe, or has your doctor said that you’re substantially over-weight? Yes No
4.	Has your spouse ever said that you stop breathing in your sleep? Yes No
5.	Do you occasionally awaken from sleep choking or gasping? Yes No
6.	Do you awaken in the AM with a dry mouth or headache? Yes No
7.	Do you think you have Sleep Apnea? Yes No
8.	Have you been diagnosed with High Blood Pressure? Yes No
9.	Are you having difficulty with your memory or concentration? Yes No
10.	Do you awaken often with the need to urinate? Yes No

Alabama Sleep Disorders Center

Sleep Quiz

Alabama Sleep
Disorders Center

CONTACT US:

the COVENANT HEALTH CENTERS family:

Alabama Sleep Disorders Center

Sleep Quiz

Alabama Sleep Disorders Center

CONTACT US:

the COVENANT HEALTH CENTERS family:

FOLLOW US:

Alabama Sleep
Disorders Center