Sleep Apnea Questionaire

The Sleep Apnea Questionaire is an important tool designed to both quickly and easily determine if a sleep disorder could possibly be present or be a factor in your overall health and well being.

Sleep apnea is an extremely serious condition that causes a person to wake up constantly throughout the night from respiratory disturbances like sleep apnea (when you stop breathing).  Apnea will cause medical conditions to occur, and existing medical conditions to worsen or make more difficult for you and your doctor to manage. Hypertension (high blood pressure, eventually renal failure), diabetes, heart failure, and stroke are very common in people who suffer from sleep apnea.

Please complete the questionnaire below so we may have the proper documentation to obtain/retain medical reimbursement and physician referrals. By providing this information, we are able to provide you with the highest level of quality patient care in your sleep apnea treatment.

Sleep Apnea Questionaire