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1. Do you snore while sleeping?

Yes
No

2. Do you feeling drowsy during day time even after long hours of sleep?

Yes
No

3. Do you awaken with headaches?

Yes
No

4. Do you clench/grind during night?

Yes
No

5. Do you feel dizzy or faint?

Yes
No

6. Does find breathless after climbing stairs?

Yes
No

7. Is your BMI >25 ?

Yes
No

8.Do you feel breathless during sleep ?

Yes
No

9.Do you have distrupted/ wake up during sleep/ toss or turn ?

Yes
No

10.Is your neck circumference > 40 cm ?

Yes
No

11.Do you wake up with head ache or jaw pain ?

Yes
No

 

 

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