Sleep Self-Test Evaluation

Who is a candidate for the home sleep testing?
Below you’ll find a self-test as to whether you are a good candidate to have your sleep analysis test. Each question is designated a certain amount of points. After completion of the test, you will be provided with your total points.

The more points you have, the more urgency level for you to perform a sleep evaluation test at Delight Medical Center.

If you have more than 6 points, Please call our office to schedule for the sleep analysis test.

Insurance Coverage:
All PPO Insurances are accepted and we have had a high success rate with coverage. Please call our office for free verification.

Do you experience unrefreshed sleep?

1 out of 21

Do you experience morning headaches?

2 out of 21

Do you feel that you need mid-day naps for more energy?

3 out of 21

Do you have trouble falling asleep?

4 out of 21

Do you have trouble staying asleep?

5 out of 21

Do you Frequently feel foggy headed?

6 out of 21

Do you have trouble with concentrating?

7 out of 21

Has anyone told you that you snore?

8 out of 21

Has anyone told you that you have breathing gaps during your sleep?

9 out of 21

Do you experience unexplained anxiety or irritability?

10 out of 21

Do you feel tired or are fatigued frequently?

11 out of 21

Are you obese or over-weight?

12 out of 21

Do you have low libido or erection problems?

13 out of 21

Do you have high blood pressure?

14 out of 21

Have you experienced any breathing problems or issues?

15 out of 21

Are you diabetic?

16 out of 21

Do you have heart problems?

17 out of 21

Do you grind your teeth?

18 out of 21

Do you have TMJ?

19 out of 21

Have you been experiencing depression?

20 out of 21

Is you neck size over 16.5 inches?

21 out of 21