Self Assessment – Why do I snore?

Do you awake up tired in the morning, even after a long sleep?

 Yes  No

Do you wake up with a dry throat?

 Yes  No

Do you wake up with a sore throat?

 Yes  No

Do you sometimes wake up with a headache?

 Yes  No

Do you get sleepy during the day time

 Yes  No

Do you fall asleep watching TV or reading?

 Yes  No

Do you get drowsy while driving for an hour or more?

 Yes  No

Have you noticed any increased irritability over time?

 Yes  No

Do you grind your teeth during sleep?

 Yes  No

Do you clench your teeth?

 Yes  No

Have you been told that you hold your breath while sleeping?

 Yes  No

Do you wake gasping for breath?

 Yes  No

Have you been snoring for more than 3 years?

 Yes  No

If so, has your snoring got worse recently?

 Yes  No

Please fill in the boxes below: (* required)

Designed for the 25% of women who snore and the 75% of women who get woken by snoring!