Sleep Self Assessment

self-assessment

This sleep quiz is an important tool designed to both quickly and easily determine if a sleep disorder may possibly be present or be a factor in your overall health and well-being.

The taking of this test and the results obtained in no way substitutes for a medical assessment or diagnostic procedure. Please begin by checking the box to any of the statements that apply to you in the form of your choice below.

Please fill out and submit the short online form with the best way to reach you, and one of our Comprehensive Sleep Care Center professionals will be happy to contact you to see if we may be of assistance in scheduling a consultation.

Sleep Apnea Quiz

Do you have a sleep disorder?

  • If you answered yes to three (3) or more questions in this section, you may be at risk for Obstructive Sleep Apnea, a potentially serious disorder that can lead to increased risk of heart attack, stroke, or death if left untreated.


    Next step…

    Please fill out and submit the short online form with the best way to reach you, and one of our Comprehensive Sleep Care Center team members will be happy to contact you to see if we may be of assistance in scheduling a consultation, or answer any question

Insomnia Quiz

Do you have Insomnia?

  • If you answered yes to two (2) or more questions in this section, you may have Insomnia which is a chronic problem in nearly 15% of the entire population.


    Next Steps...

    We would be happy to schedule a sleep consultation with you, please complete the form below, and we will contact you to schedule an appointment or answer any questions you may have.

Narcolepsy Quiz

Do you have Narcolepsy?

  • If you answered yes to two (2) or more questions in this section, you may have Narcolepsy, an often inherited disorder of uncontrollable sleep attacks.

    Next Step…

    We would be happy to schedule a sleep consultation with you, please complete the form below, and we will contact you to schedule an appointment or answer any questions you may have.

Periodic Leg Movement Quiz

Do you have Periodic Leg Movements?

  • If you answered yes to two (2) or more questions in this section, you may have Periodic Leg Movements in sleep. This disorder affects nearly 15% of those over age 55.

    Next step…

    We would be happy to schedule a sleep consultation with you, please complete the form below, and we will contact you to schedule an appointment or answer any questions you may have.

Parasomnia Quiz

Do you have Parasomnia?

  • If you answered yes to both questions in this section, you may have a Parasonmia, or unusual behavior in sleep. If you have run the risk of being injured during a sleep-related event such as sleep walking, it should be evaluated.


    Next Step…

    We would be happy to schedule a sleep consultation with you, please complete the form below, and we will contact you to schedule an appointment or answer any questions you may have.

CONTACT

P:703.729.3420 F:703.729.3422 E:info@comprehensivesleepcare.com
  • CSCC looks forward to hearing from you! Leave us a message and a representative will contact you within 24 business hours. For immediate assistance during normal business hours, please call us at 703.729.3420.