Snore Quiz

Below, we've included the same questionnaire that we use in our office to help determine the seriousness of your snoring. You'll need a Javascript enabled browser to use the evaluation portion of this quiz. We suggest that you complete it with someone familiar with your sleep habits in order to get the most accurate and useful results.

If you are interested in pursuing treatment of Snoring and/or Sleep Apnea, and would like to arrange an evaluation in our office, then complete the following questionnaire and click the "Submit" button at the bottom of this page to forward the results to us. All results will be held in strict confidentiality. We will contact you as soon as possible to schedule your appointment.

First, please complete the following information:

Next, please answer these four general snoring questions:

General Snoring Questions

Yes

Sometimes

No

1. Have you been told that you snore?
2. Do you snore in all sleep positions?
3. Can you breathe through your nose?
4. Have your tonsils been removed?

Evaluation Results:

For maximum snoring management, airway obstructions should also be identified and corrected. The following eleven questions will help evaluate whether Obstructive Sleep Apnea is present:

Sleep Apnea Questions

Yes

Sometimes

No

5. Do you snore loudly?
6. Do you feel tired or irritable in the morning?
7. Do you wake up with a headache?
8. Do you have a racing heart?
9. Do you stop breathing and/or sleep and then gasp for breath afterwards?
10. Do you experience restless thrashing during sleep?
11. Do you have problems concentrating for long periods?
12. Does you doze off unintentionally during the day?
13. Do you doze off while driving?
14. Do you experience frequent night time urination?
15. Do you have problems with decreased libido or impotence?
16. Do you have trouble controlling your weight?

Evaluation Results:

Finally, any professional snoring evaluation must include an assessment of the presence of TMJ disease. The following four question pertain to TMJ, a jaw joint disorder:

TMJ Questions

Yes

Sometimes

No

17. Do you clench or grind your teeth?
18. Do you feel stiffness in the area of your jaw joints?
19. Do you have problems opening your jaw wide in the morning?
20. Does your bite feel off in the morning?

Evaluation Results:

If you would like to forward the results of this questionnaire and arrange an evaluation/consultation in our office, then click the "Submit" button below. We will contact you as soon as possible to schedule your appointment.


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