Sleep Disorder Alliance.com
your sleep disorders community

Have you or your loved one been diagnosed with a sleep disorder? Yes No

What type of sleep disorder do you or your loved one have?

Obstructive Sleep Apnea (OSA)
Insomnia
Narcolepsy
Restless Legs Syndrome
Advanced or Delayed Sleep Phase Syndrome
Snoring
Other Sleep Problems

Q: *Do you suffer from excessive daytime sleepiness? Yes No

Q: *Do little things bother you more than they did previously? Yes No

Q: *Do you have problems concentrating? Yes No

Q: *Are you often irritable and moody? Yes No

Q: *Is your memory failing? Do you forget things like phone numbers, even your own? Yes No

Q: *Do you have learning problems? Yes No

Q: *Do you suffer from frequent infections, like colds? Yes No

Q: *Is your vision often blurred? Yes No

Q: *Are you gaining weight? Yes No

Q: *Do you wake up tired? Yes No
Sleep Apnea
Insomnia
Restless Legs Syndrome
Narcolepsy
Snoring
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