"*" indicates required fieldsSleep Self-AssessmentAnswering the questions below will help you know if you may be experiencing sleep problems or a sleep disorder.Do you often feel tired, fatigued, or sleepy during the daytime?*Please SelectYesNoDo you snore loudly or have you been told you snore (loud enough to be heard through closed doors)?*Please SelectYesNoDo you have trouble falling asleep?*Please SelectYesNoDo you wake up more than 4-5 times per night?*Please SelectYesNoAge over 50 years?*Please SelectYesNoΔ