Sleep Apnea Quiz v2

How often do you fall asleep while…

Sitting and reading?

Never

Once in a while

Sometimes

Frequently

Watching TV?

Never

Once in a while

Sometimes

Frequently

Sitting or lounging in a public place, such as a meeting, theater or dinner event?

Never

Once in a while

Sometimes

Frequently

Being a passenger in a car for an hour?

Never

Once in a while

Sometimes

Frequently

Lying down in the afternoon?

Never

Once in a while

Sometimes

Frequently

Sitting and talking to someone?

Never

Once in a while

Sometimes

Frequently

Sitting quietly after lunch (no alcohol)?

Never

Once in a while

Sometimes

Frequently

Stopping for a few minutes in traffic while driving?

Never

Once in a while

Sometimes

Frequently

First Name

Last Name

Phone

Email