Survey - 10 Life Saving Questions Do you snore?: Yes No Have you or anyone observed you stop breathing or gasp during sleep?: Yes No Do you wake up tired and unrefreshed?: Yes No Do you doze off easily?: Yes No Do you ever wake up out of breath, gasping or coughing?: Yes No Are you a restless sleeper?: Yes No Do you ever have indigestion or acid reflux?: Yes No Do you have headaches or jaw pain?: Yes No Do you have or ever had in the past high blood pressure?: Yes No Do you ever have night sweats?: Yes No Three (3) or more YES answers to these 10 questions means you should be further evaluated for SDB. Five (5) or six (6) YES answers means there is a very good possibility that you have SDB. E-mail Dr. Perkins your answers for a free phone consultation!