Sleep Apnea Quiz | ExcelENT of Alabama

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Sleep Apnea Quiz

Have You Ever Had A Sleep Study Performed?YesNoDo You Wear or Have You Ever Worn a CPAP?YesNo

For the questions below, please rank according to the 4 levels of sleepiness:
1. Never Doze Off 2. Occasionally Doze Off 3. Likely 4. Probably

Watching Television*1234Sitting & Reading*1234Sitting in a Public Place (movie, meeting, etc)*1234As a Passenger in a Vehicle for 1 Hour*1234As a Driver, Stopped Briefly in Traffic*1234Check All That Apply To You

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ExcelENT of Alabama
2161 Valleydale Rd.
Birmingham, AL 35244

Phone: 205-988-6858
Fax: 205-987-3501
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