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Is Snoring a problem? |
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Have you ever been diagnosed or treated for sleep apnea? Do you have allergies or problems breathing? Do you have any problems with breathing through your nose? Do you drink alcohol and or take sedatives six hours prior to going to sleep?
- Are their disorders of sleep apnea in your family?
- Have you sought treatment for snoring?
- Do you tend to be tired in the afternoon?
- Do you sleep but not wake up refreshed?
Feel free to print this and fill it out before coming in to our office. Might also be a good idea to give a copy to that spouse who snores!
Patient Name: Date of Birth:
EPWORTH SLEEPINESS SCALE
In contrast to just feeling tired, how likely are you to doze off or fall asleep in the following situations? Even if you have not done some of these things recently, try to work out how they would have affected you. Use the following scale to choose the most appropriate number or each situation.
0 = WOULD NEVER DOZE
1 = SLIGHT CHANCE OF DOZING
2 = MODERATE CHANCE OF DOZING
3 = HIGH CHANCE OF DOZING
SITUATION CHANCE OF DOZING
Sitting and Reading
Watching TV
Sitting inactive in a public place (i.e., in a theatre)
As a car passenger for an hour without a break
Lying down to rest in the afternoon
Sitting and talking to someone
Sitting quietly after lunch (without alcohol)
In a car, while stopping for a few minutes in traffic
TOTAL SCORE =
Have you had a sleep study? ________
Do you own a CPAP? ______ If so, do you use it nightly?_________
SIGNATURE: ____________________________ DATE: _________
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Take a More Detailed Sleep Test Here and Find Out Your Score ONLINE
Treatment for Snoring is:
1. Do nothing.
2. Sleep on your side rather than your back.
3. Exercise and weight loss reduction.
4. Use Continuous Positive Airway Pressure (CPAP).
5. Use the SnoreGuard, TheraSnore, The Silent Night, the O2 Oasys, or, the Silencer. Click here to find out about the Silencer or the Oasys System.
Silent Night Appliance Oasys
Appliance
Email us if you answered "yes" to any of these questions.