Sleep Assessment

Answer a few quick questions to find out if you might have sleep apnea

Your Info Screening Results

Your Information

Let's start with the basics

First Name *

Please enter your first name

Last Name *

Please enter your last name

Email *

Please enter a valid email address

Phone *

Please enter your phone number

Date of Birth *

Month

Day

Year

Answer these quick questions about your sleep

Do you snore loudly?

Loud enough to be heard through closed doors

Yes

Do you often feel tired, fatigued, or sleepy during the day?

Yes

Has anyone observed you stop breathing or choking during sleep?

Yes

Do you have or are you being treated for high blood pressure?

Yes

Have you been diagnosed with sleep apnea?

Yes

Do you currently use a CPAP machine?

Yes

Would you be interested in a CPAP-free alternative?

Yes

Please answer all questions before continuing

Thank you for taking the time to complete our sleep assessment. Our team will review your responses and reach out soon.

1 Our sleep coordinator will review your assessment and contact you within 1 business day.
2 We'll schedule a complimentary consultation to discuss your results and treatment options.
3 If appropriate, we'll arrange an at-home sleep test -- covered by most insurance plans.

Call Us Now: (614) 222-6816 Back to Home

CPAP-free sleep apnea treatment in Columbus, Ohio. Custom oral appliances that are FDA-cleared, insurance-covered, and actually comfortable.