Snoring Assessment Survey Do you snore? Find out how snoring may be affecting you. Take our quick survey below. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Do you feel tired in the morning when you wake up?YesNoSometimesDo you wake up with a headache in the mornings?YesNoSometimesDo you have problems concentrating or staying focused for long periods?YesNoSometimesDo you suddenly feel sleepy or doze off unintentionally?YesNoSometimesDo you stop breathing while sleeping or gasp for air? (ask partner if available)YesNoSometimesCalculate your score! Add up your total score using the following: 2 points for each "yes" 1 point for each "sometimes" Once added up, input your score into the field below. We will contact you to review your results. In the meantime, if you have a score of 4 or higher you should be evaluated for snoring therapy. Your Total Score: Submit Share this:FacebookXLike this:Like Loading...