What is your height in cm?
What is your weight in kg?
What is your gender?
Which year were you born?
How would you describe your sleep? (Pick most applicable.)
What has been your key motivation to improve your sleep issues? (Please select all that apply.)
Do you use a wearable fitness tracker or similar health tracking device?
During your sleep, which of the following applies to you? (Please select all that apply.)
Have you been told you snore?
Do you wake up with a dry mouth?
Do you sleep next to someone who snores?
Do you wake with headaches in the morning?
Even after sleeping through the night, do you feel sleepy during the day?
Have you ever been told you hold your breath while sleeping?
How often have you had trouble sleeping because of pain?
Have you ever experienced waking up coughing?
Do you ever wake gasping for breath?
Do you wake up with an aching jaw, or ever been told that you grind your teeth during sleep?
Do you sometimes feel that you have to move your legs to make them feel comfortable?
Have you ever been diagnosed with Sleep Apnea?
If you recall, what was your diagnosed Apnea Hypopnea Index (AHI)?
Since your diagnosis, have you tried CPAP?
Are you currently using CPAP?
Would you like a call from a ResMed sleep coach to discuss options to improve your sleep?
What is the best phone number to reach you on?
What time suits you best?
3 - 5 mins only
