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Sleep Health Screening Survey
Sleep Health Screening Survey
Take this Survey to check if you are at risk of sleep apnea!
19Questions
Sleep Health and Apnea Screening Survey
  • 1
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  • 4
    Mr.
    • Mr.
    • Ms.
    • Mrs.
    • Mdm.
    • Dr.
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  • 5
    A copy of your responses will be sent.
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  • 6
    Loud enough to be heard through closed door, or your bed partner elbows you for snoring! 
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  • 7
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  • 8
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  • 9
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  • 10
    Eg. Height is 1.7m, Enter 1.7
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  • 11
    Eg. Weight is 54kg, Enter 54
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  • 12
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  • 13
    BMI = Weight in KG / (Height in Meters x Height in Meters)      eg. Wt (100kg) /  (Ht 1.5m x 1.5m)  = BMI 44 
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  • 14
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  • 15
    Measured around the adam's apple level
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  • 16
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  • 17
    Do you suffer from...
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  • 18
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  • 19
    By submitting YES, you will consent to The Air Station sending you information on sleep health via your email.
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  • 20
    By submitting YES, you will consent to The Air Station sending you emails on sleep health information.
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