Dental Sleep Solutions - Patient Health Assessment

More than 20 million Americans suffer from obstructive sleep apnea (OSA). Despite this high prevalence, 93% of women and 82% of men with moderate to severe OSA remain UNDIAGNOSED and UNAWARE that they have a deadly disease.

Please complete this short questionnaire to determine your risk of OSA. Your information is confidential and will only be shared with health care providers for diagnostic and treatment purposes

Please Enter your contact information to complete this brief health assessment

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Last Name*

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ESS Form

Epworth Sleepiness Score

Health Symptoms

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