Corporate Wellness
Telesleep
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Sleep & Neuroscience Associates
15 Valley Drive, Suite 3E, Greenwich, CT 06831
203-653-3519
info@sleepwellMD.com
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Snore Quiz
Take Our Snore Quiz
Do you have sleep apnea?
Take our snore quiz to find out how severe your snoring problem is and to determine whether you are at risk for sleep apnea.
Step
1
of
3
33%
I am a:
*
Woman
Man
Do you snore more than three nights a week?
*
Yes
No
Is your snoring loud (can it be heard through a door or wall)?
*
Yes
No
Has anyone ever told you that you briefly stop breathing or gasp when you are asleep?
*
Never
Occasionally or Frequently
What is your collar size?
*
Less than 17 inches
17 inches or greater
What is your collar size?
*
Less than 16 inches
16 inches or greater
Have you had high blood pressure, or are you being treated for it?
*
Yes
No
Do you ever doze or fall asleep during the day when you are not busy or active?
*
Yes
No
Do you ever doze or fall asleep during the day when you are driving or stopped at a light?
*
Yes
No
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Type of Appointment*
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Type of Appointment*
In Office Appointment
Telesleep Appointment
Corporate Wellness Program Appointment
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Areas of Specialty
Sleep Apnea
Narcolepsy
Insomnia
Restless Legs Syndrome
Parasomnias
Pediatric Sleep Disorders
Circadian Rhythm Disorders
CPAP & CPAP Alternatives
Thank you! We will get back to you as soon as possible.
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Telesleep Appointment
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