Sleep Lab

Sleep Lab Quiz

Would you benefit from a sleep study?

1. I feel sleepy during the day.
   True    False

---

2. I have trouble falling or staying asleep.
   True    False

---

3. I have been told I snore loudly and/or stop breathing while asleep.
   True    False

---

4. My legs are restless and interfere with falling asleep.
   True    False

---

5. I often seem to wake up because of dreams.
   True    False

---

6. I wake up choking, gasping or with a racing heart.
   True    False

---

7. I wake up with a headache.
   True    False

---

If you answered yes to any of these questions, please print out and take this form in to your primary care provider.