--- title: Online Sleep Assessment Quiz | ResMed --- [![resmed_h_rev_wht_rgb_250121](https://www.resmed.com.au/hs-fs/hubfs/logo/resmed_h_rev_wht_rgb_250121.png?width=140&height=29&name=resmed_h_rev_wht_rgb_250121.png "resmed_h_rev_wht_rgb_250121")](https://www.resmed.com.au) 0% ## 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? (You can choose multiple) ## What do you want to change about your sleep? (pick only 1) ## Have you ever discussed Sleep related issues with any of these? (You can choose multiple) ## Do you use a wearable fitness tracker or similar health tracking device? ## On average, how many hours of sleep do you get each night? ## How satisfied do you feel about your current sleep? ## During your sleep, which of the following applies to you? Select all that apply. ## On average, do you experience these symptoms more than 3 times a week? ## Have you experienced these symptoms for more than 3 months? ## Do you feel that your sleep problems are interfering with your daily functioning? ## Have you been told you snore? ## If you can recall, which position do you usually snore in while sleeping? ## 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? ## How sleepy do you usually feel 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 have high blood pressure or are taking medicine to treat it? ## Do you experience heartburn or acid reflux, or take medication to treat it? ## Have you been diagnosed with (or suffer from) any of these conditions? ## 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 heard of a common disorder called Sleep Apnea? ## Do you believe that untreated Sleep Apnea has risk on your overall health? ## 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 be interested in speaking to 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? Enter your details in the boxes below cm Please enter the correct height Enter your details in the boxes below kg Please enter the correct weight. Male Female Prefer not to answer Enter your details in the boxes below year Please enter the correct year. Light Could be better Disturbed Deep Great Terrible Partner wants me to stop snoring Low energy and fatigue Ongoing health issues or risk Doctor's recommendation Work productivity & performance issues Sudden event Any other Fall asleep faster Fall asleep without sleep medication Sleep all through the night Wake up earlier Treat my snoring Have more daytime energy Improve your sleep apnea treatment Other Doctor Partner Friend Relative None Yes No Less than 5 hours 5 - 7 hours 7 - 9 hours More than 9 hours Very Satisfied Satisfied Moderately Satisfied Dissatisfied Very Dissatisfied I have difficulty falling asleep I have difficulty staying asleep I often wake up during the night I wake up earlier than desired None of the above Yes No Yes No Not at all interfering A little Somewhat Much Very much interfering Yes No On my back On my side In any position Can't recall Yes No Yes No Yes No Yes No Extremely Moderately Very Slightly Yes No Never Less than once a week One or twice a week Three or more times a week Yes No Yes No Yes No Yes No Diabetes COPD or any respiratory disorder Heart failure Chronic Pain Stroke Obesity Depression or mood disorder Thyroid conditions None Yes No Not sure Yes No Not sure Yes No Yes No Yes No AHI <5 AHI >5<15 AHI >15<30 AHI>30 Don't recall Yes No Yes No Yes No Enter your details in the boxes below Please enter the correct phone number. ``` ``` Morning Afternoon Evening ** Next ** Next ** Next ** Next ** Next ** Next ** Next ** Next ** Next ** ** ```json { "@context" : "https://schema.org", "@type" : "WebSite", "potentialAction" : { "@type" : "SearchAction", "query-input" : "required name=search_term_string", "target" : "https://shop.resmed.com.au/search-results/?q={search_term_string}" }, "url" : "https://www.resmed.com.au" } ```