Padstow Ideal Dental
First, some questions about your health....
At what age did snoring become a problem for you?
Choose one of the following answers
Under 25
25-35
36-45
Over 46
Has your snoring worsened in the last year or two?
Yes
No
Have you put on more than 10 lbs in the last year or so?
Yes
No
Is your shirt collar size greater than 17 (man) or 16 (woman)
Yes
No
Do you smoke?
Yes
No
Do you usually have an alcoholic drink within a few hours of going to bed?
Yes
No
Does your doctor say that you have high blood pressure?
Yes
No
Do you often wake up with a morning headache?
Yes
No
Do you often have a stuffy nose at night, perhaps from allergies or other nasal conditions?
Yes
No
Have you had your tonsils removed?
Yes
No
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