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Sleep Assessment
Sleep Assessment
The risk assessment results do not serve as a diagnosis. Consult your physician with your results before making lifestyle changes.
SSM Center for Sleep Disorders
Sleep Evaluation
Complete the following sleep evaluation to determine if you are at risk for a sleep disorder, such as sleep apnea, and if you should see a sleep specialist without delay. It takes just a few minutes to complete and your results are immediate.
Please tell us a little about yourself:
First Name:
I am:
Male
Female
Your Age:
20-29
30-39
40-49
50-65
Over 65
Your Height:
feet
inches
Your Weight:
pounds
Category 1 score:
Category 2 score:
Category 3 score:
Total Positive Categories: