Sleep Health Assessment

How likely are you to doze off when sitting and reading?

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How likely are you to doze off when watching television?

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How likely are you to doze off when sitting inactive in public?

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How likely are you to doze off when sitting as a passenger in a car for an hour with no break?

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How likely are you to doze off when lying down in the afternoon?

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How likely are you to doze off when sitting and talking to someone?

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How likely are you to doze off when sitting quietly after lunch without alcohol?

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How likely are you to doze off when in a car, stopped for a few minutes in traffic?

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Do you often snore loud enough to be heard through closed doors?

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Do you often feel Tired, Fatigued, or Sleepy during the daytime?

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Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep?

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Do you have or are being treated for High Blood Pressure?

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Is your neck size large?
(Measured around Adams apple)

For male, is your shirt collar 17in/ 43cm or larger?
For female, is your shirt collar 16in / 41cm or larger?

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What is your gender?

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Are you older than 50?

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BMI Calculation

Weight Select your weight 30 kg 31 kg 32 kg 33 kg 34 kg 35 kg 36 kg 37 kg 38 kg 39 kg 40 kg 41 kg 42 kg 43 kg 44 kg 45 kg 46 kg 47 kg 48 kg 49 kg 50 kg 51 kg 52 kg 53 kg 54 kg 55 kg 56 kg 57 kg 58 kg 59 kg 60 kg 61 kg 62 kg 63 kg 64 kg 65 kg 66 kg 67 kg 68 kg 69 kg 70 kg 71 kg 72 kg 73 kg 74 kg 75 kg 76 kg 77 kg 78 kg 79 kg 80 kg 81 kg 82 kg 83 kg 84 kg 85 kg 86 kg 87 kg 88 kg 89 kg 90 kg 91 kg 92 kg 93 kg 94 kg 95 kg 96 kg 97 kg 98 kg 99 kg 100 kg 101 kg 102 kg 103 kg 104 kg 105 kg 106 kg 107 kg 108 kg 109 kg 110 kg 111 kg 112 kg 113 kg 114 kg 115 kg 116 kg 117 kg 118 kg 119 kg 120 kg 121 kg 122 kg 123 kg 124 kg 125 kg 126 kg 127 kg 128 kg 129 kg 130 kg 131 kg 132 kg 133 kg 134 kg 135 kg 136 kg 137 kg 138 kg 139 kg 140 kg 141 kg 142 kg 143 kg 144 kg 145 kg 146 kg 147 kg 148 kg 149 kg 150 kg 151 kg 152 kg 153 kg 154 kg 155 kg 156 kg 157 kg 158 kg 159 kg 160 kg 161 kg 162 kg 163 kg 164 kg 165 kg 166 kg 167 kg 168 kg 169 kg 170 kg 171 kg 172 kg 173 kg 174 kg 175 kg 176 kg 177 kg 178 kg 179 kg 180 kg 181 kg 182 kg 183 kg 184 kg 185 kg 186 kg 187 kg 188 kg 189 kg 190 kg 191 kg 192 kg 193 kg 194 kg 195 kg 196 kg 197 kg 198 kg 199 kg 200 kg Height Select your height 100 cm 101 cm 102 cm 103 cm 104 cm 105 cm 106 cm 107 cm 108 cm 109 cm 110 cm 111 cm 112 cm 113 cm 114 cm 115 cm 116 cm 117 cm 118 cm 119 cm 120 cm 121 cm 122 cm 123 cm 124 cm 125 cm 126 cm 127 cm 128 cm 129 cm 130 cm 131 cm 132 cm 133 cm 134 cm 135 cm 136 cm 137 cm 138 cm 139 cm 140 cm 141 cm 142 cm 143 cm 144 cm 145 cm 146 cm 147 cm 148 cm 149 cm 150 cm 151 cm 152 cm 153 cm 154 cm 155 cm 156 cm 157 cm 158 cm 159 cm 160 cm 161 cm 162 cm 163 cm 164 cm 165 cm 166 cm 167 cm 168 cm 169 cm 170 cm 171 cm 172 cm 173 cm 174 cm 175 cm 176 cm 177 cm 178 cm 179 cm 180 cm 181 cm 182 cm 183 cm 184 cm 185 cm 186 cm 187 cm 188 cm 189 cm 190 cm 191 cm 192 cm 193 cm 194 cm 195 cm 196 cm 197 cm 198 cm 199 cm 200 cm 201 cm 202 cm 203 cm 204 cm 205 cm 206 cm 207 cm 208 cm 209 cm 210 cm 211 cm 212 cm 213 cm 214 cm 215 cm 216 cm 217 cm 218 cm 219 cm 220 cm 100 cm 101 cm 102 cm 103 cm 104 cm 105 cm 106 cm 107 cm 108 cm 109 cm 110 cm 111 cm 112 cm 113 cm 114 cm 115 cm 116 cm 117 cm 118 cm 119 cm 120 cm 121 cm 122 cm 123 cm 124 cm 125 cm 126 cm 127 cm 128 cm 129 cm 130 cm 131 cm 132 cm 133 cm 134 cm 135 cm 136 cm 137 cm 138 cm 139 cm 140 cm 141 cm 142 cm 143 cm 144 cm 145 cm 146 cm 147 cm 148 cm 149 cm 150 cm 151 cm 152 cm 153 cm 154 cm 155 cm 156 cm 157 cm 158 cm 159 cm 160 cm 161 cm 162 cm 163 cm 164 cm 165 cm 166 cm 167 cm 168 cm 169 cm 170 cm 171 cm 172 cm 173 cm 174 cm 175 cm 176 cm 177 cm 178 cm 179 cm 180 cm 181 cm 182 cm 183 cm 184 cm 185 cm 186 cm 187 cm 188 cm 189 cm 190 cm 191 cm 192 cm 193 cm 194 cm 195 cm 196 cm 197 cm 198 cm 199 cm 200 cm 201 cm 202 cm 203 cm 204 cm 205 cm 206 cm 207 cm 208 cm 209 cm 210 cm 211 cm 212 cm 213 cm 214 cm 215 cm 216 cm 217 cm 218 cm 219 cm 220 cm 100 cm 101 cm 102 cm 103 cm 104 cm 105 cm 106 cm 107 cm 108 cm 109 cm 110 cm 111 cm 112 cm 113 cm 114 cm 115 cm 116 cm 117 cm 118 cm 119 cm 120 cm 121 cm 122 cm 123 cm 124 cm 125 cm 126 cm 127 cm 128 cm 129 cm 130 cm 131 cm 132 cm 133 cm 134 cm 135 cm 136 cm 137 cm 138 cm 139 cm 140 cm 141 cm 142 cm 143 cm 144 cm 145 cm 146 cm 147 cm 148 cm 149 cm 150 cm 151 cm 152 cm 153 cm 154 cm 155 cm 156 cm 157 cm 158 cm 159 cm 160 cm 161 cm 162 cm 163 cm 164 cm 165 cm 166 cm 167 cm 168 cm 169 cm 170 cm 171 cm 172 cm 173 cm 174 cm 175 cm 176 cm 177 cm 178 cm 179 cm 180 cm 181 cm 182 cm 183 cm 184 cm 185 cm 186 cm 187 cm 188 cm 189 cm 190 cm 191 cm 192 cm 193 cm 194 cm 195 cm 196 cm 197 cm 198 cm 199 cm 200 cm 201 cm 202 cm 203 cm 204 cm 205 cm 206 cm 207 cm 208 cm 209 cm 210 cm 211 cm 212 cm 213 cm 214 cm 215 cm 216 cm 217 cm 218 cm 219 cm 220 cm 100 cm 101 cm 102 cm 103 cm 104 cm 105 cm 106 cm 107 cm 108 cm 109 cm 110 cm 111 cm 112 cm 113 cm 114 cm 115 cm 116 cm 117 cm 118 cm 119 cm 120 cm 121 cm 122 cm 123 cm 124 cm 125 cm 126 cm 127 cm 128 cm 129 cm 130 cm 131 cm 132 cm 133 cm 134 cm 135 cm 136 cm 137 cm 138 cm 139 cm 140 cm 141 cm 142 cm 143 cm 144 cm 145 cm 146 cm 147 cm 148 cm 149 cm 150 cm 151 cm 152 cm 153 cm 154 cm 155 cm 156 cm 157 cm 158 cm 159 cm 160 cm 161 cm 162 cm 163 cm 164 cm 165 cm 166 cm 167 cm 168 cm 169 cm 170 cm 171 cm 172 cm 173 cm 174 cm 175 cm 176 cm 177 cm 178 cm 179 cm 180 cm 181 cm 182 cm 183 cm 184 cm 185 cm 186 cm 187 cm 188 cm 189 cm 190 cm 191 cm 192 cm 193 cm 194 cm 195 cm 196 cm 197 cm 198 cm 199 cm 200 cm 201 cm 202 cm 203 cm 204 cm 205 cm 206 cm 207 cm 208 cm 209 cm 210 cm 211 cm 212 cm 213 cm 214 cm 215 cm 216 cm 217 cm 218 cm 219 cm 220 cm 100 cm 101 cm 102 cm 103 cm 104 cm 105 cm 106 cm 107 cm 108 cm 109 cm 110 cm 111 cm 112 cm 113 cm 114 cm 115 cm 116 cm 117 cm 118 cm 119 cm 120 cm 121 cm 122 cm 123 cm 124 cm 125 cm 126 cm 127 cm 128 cm 129 cm 130 cm 131 cm 132 cm 133 cm 134 cm 135 cm 136 cm 137 cm 138 cm 139 cm 140 cm 141 cm 142 cm 143 cm 144 cm 145 cm 146 cm 147 cm 148 cm 149 cm 150 cm 151 cm 152 cm 153 cm 154 cm 155 cm 156 cm 157 cm 158 cm 159 cm 160 cm 161 cm 162 cm 163 cm 164 cm 165 cm 166 cm 167 cm 168 cm 169 cm 170 cm 171 cm 172 cm 173 cm 174 cm 175 cm 176 cm 177 cm 178 cm 179 cm 180 cm 181 cm 182 cm 183 cm 184 cm 185 cm 186 cm 187 cm 188 cm 189 cm 190 cm 191 cm 192 cm 193 cm 194 cm 195 cm 196 cm 197 cm 198 cm 199 cm 200 cm 201 cm 202 cm 203 cm 204 cm 205 cm 206 cm 207 cm 208 cm 209 cm 210 cm 211 cm 212 cm 213 cm 214 cm 215 cm 216 cm 217 cm 218 cm 219 cm 220 cm Next Question cancel

Has anyone observed you grinding your teeth while you sleep?

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Do you often wake up with jaw pain or stiffness?

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Do your teeth feel sore or sensitive when you wake up?

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How do you usually feel when you wake up?

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How often do you rely on caffeine to keep you going?

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Do you ever experience brain fog or difficulty concentrating?

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How rested do you feel after a full night's sleep?

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Have you struggled to manage your weight despite trying?

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Do you feel like your lack of energy affects your social or family life?

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If you could wake up feeling energised and clear-headed every day, how much would that change your life?

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How much do you think poor sleep is affecting your health overall?

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Which of these would you most like to improve?

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