1. Do you snore loudly? Yes No

2. Do you often feel tired, fatigued, or sleepy during the daytime? Yes No

3. Has anyone observed you stop breathing or choking/gasping during your sleep? Yes No

4. Do you have or are being treated for high blood pressure? Yes No

5. Is your Body Mass Index more than 35 kg/m²? Yes No (Determined automatically from your height and weight)

6. Are you over 50 years old? Yes No (Determined automatically from your date of birth)

7. Is your neck circumference greater than 40 cm? Yes No

8. Are you male? Yes No (Determined automatically from your gender selection)

Do you experience any of the following? (Check all that apply) Unpleasant sensations in legs that improve with movement Muscle weakness during strong emotions Teeth grinding, sleepwalking, or unusual sleep behaviors Heartburn or reflux during sleep Morning headaches Difficulty concentrating during the day Irritability or mood changes Falling asleep unintentionally during the day Dry mouth or sore throat upon waking Frequent urination at night Restless sleep or frequent tossing and turning Other: