Snoring may be annoying, especially to your partner, but it can also disrupt your work, life, relationships and even signify a serious condition such as sleep apnea.

1. My partner complains that I snore very loudly.

Choose Answer Never Sometimes Most of the time Always Does not apply

2. When I’m sleeping my partner nudges to roll over on my side throughout the night.

Choose Answer Never Sometimes Most of the time Always Does not apply

3. My snoring affects people in other rooms of my house, or when I’m away from home (hotel, camping, visiting).

Choose Answer Never Sometimes Most of the time Always Does not apply

4. When I wake up in the morning I am hoarse and/or have a sore, scratchy throat.

Choose Answer Never Sometimes Most of the time Always Does not apply

5. I’m tired throughout the day, even when I feel I should have gotten enough sleep.

Choose Answer Never Sometimes Most of the time Always Does not apply

6. I have trouble concentrating and/or remembering things.

Choose Answer Never Sometimes Most of the time Always Does not apply

7. I feel depressed and/or irritable.

Choose Answer Never Sometimes Most of the time Always Does not apply

8. I smoke.

Choose Answer Yes No

9. I am excessively overweight.

Choose Answer Yes No

10. I often drink alcohol, take sedatives or take sedating antihistamines before I go to bed.

Choose Answer Yes No

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