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Name
E-mail
Contact No.
Do you snore loudly [ie. Louder than talking or loud enough to be heard through closed doors]?
Has anyone observed you that you stopped breathing while in sleep ?
Do you feel tired, fatigued, or sleepy during the day?
Do you have high blood pressure whether under treatment or not?
Are you overweight [or with BMI 28 plus]?
Are you 50 years of age?
Is your neck size 17 inches or more in Males [16 inches or more in females]?
Are you a Male?
 
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