RWJ Hamilton
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The SleepCare Center at RWJ Hamilton

Take a Sleep Test

Do you have sleep apnea?

  1. I have been told that I snore.
    Yes  No
  2. I have been told that I hold my breath while I sleep.
    Yes  No
  3. I suddenly wake-up gasping for breath, or choking.
    Yes  No
  4. I often feel sleepy and struggle to remain alert.
    Yes  No
  5. Even though I sleep during the night, I feel sleepy during the day.
    Yes  No
  6. I have fallen asleep while driving.
    Yes  No
  7. I have trouble concentrating at work or school.
    Yes  No
  8. I have fallen asleep in social settings such as movies or at a party.
    Yes  No
  9. I am more than 15 pounds overweight.
    Yes  No
  10. My neck measures over 17 inches (males) or over 16 inches (females).
    Yes  No
  11. I have high blood pressure.
    Yes  No
  12. My friends and family say that I'm often grumpy and irritable.
    Yes  No
  13. I wish I had more energy.
    Yes  No
  14. I sweat excessively during the night.
    Yes  No
  15. I have noticed my heart pounding or beating irregularly during the night.
    Yes  No
  16. I get morning headaches.
    Yes  No
  17. I seem to be losing my sex drive, or my ability to perform in bed.
    Yes  No
  18. When I am angry or surprised, I feel like my muscles are going limp.
    Yes  No
  19. I have experienced dreamlike scenes upon falling asleep or awakening.
    Yes  No
  20. I have dreams soon after falling asleep or during naps.
    Yes  No
  21. I have "sleep attacks" during the day no matter how hard I try to stay awake.
    Yes  No
  22. I have had episodes of feeling paralyzed during my sleep.
    Yes  No
  23. I wake up at night with an acid/sour taste in my mouth, or a dry mouth.
    Yes  No
  24. I wake up at night coughing or wheezing.
    Yes  No
  25. I have noticed (others have commented) that parts of my body jerk during sleep.
    Yes  No
  26. I have been told that I kick at night.
    Yes  No
  27. When trying to go to sleep I experience an aching or crawling sensation in my legs.
    Yes  No
  28. I experience leg pain or cramps at night.
    Yes  No
  29. Sometimes I can't keep my legs still at night, I just have to move them to feel comfortable.
    Yes  No
  30. I frequently feel depressed.
    Yes  No

For more information or to schedule the sleep study, please call the toll free number 1-866-SLEEP40 (1-866-753-3740).