enrollmentSleep Questionnaire

SELF ASSESSMENT

  • Do you have sleepiness during the day?
  • Do you snore while sleeping?
  • Do you awaken with a headache in the morning?
  • Do you routinely have a dry mouth in the morning?
  • Have you ever awakened from sleep gasping for breath or choking?
  • Do you routinely find it difficult to stay awake while watching TV, reading a book or attending a lecture?
  • Has anyone told you that you hold your breath, snore and often move around while sleeping?
  • Do you ever experience muscle weakness when excited or emotional?
  • Do you have difficulty falling asleep?
  • Do you have difficulty maintaining sleep?

If you answered “yes” to more than one of these questions please contact Lion Sleep Labs at 618-692-4945.