Have you been told that you snore? YesNoHas anyone said that you seem to stop breathing while sleeping? YesNoDo you awaken from sleep with chest pain or shortness of breath? YesNoHave you ever been diagnosed with sleep apnea? YesNoDo you have a CPAP? YesNoDo you have diabetes or high blood pressure? YesNoHave you ever been told that you have heart disease such as, coronary heart failure, atrial fibrillation, or have had irregular heart rhythms? YesNo