Allegan General Hospital
Sleep Disorder Quiz
To find out if you might have a sleep disorder, check all that applies to you:
  Loud Snoring
Sleepiness during the day
Gasping or choking during sleep
Morning headaches
Irritability
Overweight
Difficulty concentrating
Memory loss or forgetfulness
High blood pressure
Loss of energy or fatigue
Depression
Restless sleep or frequent awakenings
Large neck size (greater than 17" in men or greater than 16" in women)
Told you stop breathing in your sleep
Falling asleep when you shouldn't
Sexual dysfunction
*Name:
*Email:
*Zip Code:


* required