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Take Our Sleep Apnea Assessment Questionnaire

Answer the following questionnaire to help us better understand your sleeping habits

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Do you dream?
Have you been told you snore?
Does your snoring cause your sleep partner to lose sleep?
Do you experience any of the following conditions? (Select All That Apply)
Have you ever been diagnosed with Sleep Apnea?
Do you have any of these health conditions? (Select all that apply)
How would you describe your sleep?
How did you hear about Desert Sleep & Wellness?
Do you have a CPAP?
Any further information you'd like to share?

Your phone number will be used exclusively to call and/or send you messages about upcoming appointments, appointment follow ups or treatment check-ins.  We do not sell or share your personal information with third parties.

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