Do you have trouble sleeping?

Complete the following Sleep Self-Assessment Quiz and someone from our office will contact you about your results.

Chance of dozing:

None

Slight

Mild

High

1. Sitting and reading

x

x

x

x

2. Watching TV

x

x

x

x

3. Sitting inactive in a public place (e.g., theater or meeting)

x

x

x

x

4. As a passenger in a car for an hour without a break

x

x

x

x

5. Lying down to rest in the afternoon when circumstances permit

x

x

x

x

6. Sitting and talking to someone

x

x

x

x

7. Sitting quietly after a lunch without alcohol

x

x

x

x

8. In a car, while stopped for a few minutes in traffic

x

x

x

x

Click the submit button below to share your Sinus Self-Assessment Quiz results with our office.