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ADULT NEW PATIENTS (18 years and older)

Patient Questionnaire. Please complete this online questionnaire prior to your first visit. It is very important that we obtain comprehensive and accurate information regarding your sleep problem(s).

The questionnaire provides us with information regarding your sleep routine, sleep related symptoms, how you feel during the day, health habits, mental health, level of daytime alertness, medical history and current medication usage.

After you submit the questionnaire you will have an opportunity to print a copy for your records.

Click here to print demographic form

Click here to print History and Physical

Click here to print sleep questionnaire