Tired Test Questionnaire
Answer yes or no to the following questions:
yes
no
1) Loud snoring during sleep
2) Gasping for breath during sleep
3) Excessive daytime sleepiness
4) Difficulty initiating sleep
5) Difficulty maintaining sleep
6) Morning headaches
7) Morning fatigue
8) Morning dry mouth
If you would like to have the results of this test confidentially reviewed then please submit the following.
Name:
Phone:
Email:
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Statements in this website are based on published material. You are advised to consult with your physician on any medical concerns.
