Book an Appointment at PM Sleep Centers
Online Sleep Risk Assessment

Online Sleep Risk Assessment

Having trouble sleeping? Take our sleep risk assessment to see if you may be suffering from a sleeping disorder.

1. Do you, or have you been told that you, stop breathing while you are sleeping?

Yes
No

2. Do you snore loudly to the point that you can be heard in other rooms?

Yes
No

3. Do you feel unrested or excessively sleepy during the day?

Yes
No

4. Do you have high blood pressure?

Yes
No

5. Have you had any recent weight gain that has been difficult to lose?

Yes
No

6. Do you awaken with headaches?

Yes
No

7. Do you have trouble falling asleep or staying asleep?

Yes
No

8. Do you kick or jerk your legs while sleeping?

Yes
No

9. Do you awaken suddenly feeling as if you are chocking, gasping for breath or with your heart racing?

Yes
No

10. Do you suffer from leg cramps, crawling feelings, or leg discomfort while sleeping or trying to fall asleep?

Yes
No

11. Do you suffer from frequent & intense vivid dreams or nightmares?

Yes
No

12. Have you been told that you frequently talk, walk, or grind your teeth while you are sleeping?

Yes
No

13. Do you nap more than 3 times per week?

Yes
No

14. Do you have difficulty concentrating or remembering details or daily events?

Yes
No

15. Do you have trouble staying awake during sedentary activities such as watching TV, sitting and reading, or riding in a vehicle?

Yes
No

16. Have you ever experienced difficulty staying awake while having a conversation with someone?

Yes
No

17. Do you find yourself feeling excessively sleepy in the car while stopped in traffic or after lunch (no alcohol)?

Yes
No

Share