Screening Questionnaire

The Sleep Center is staffed by sleep technologists who are registered in both sleep technology and respiratory therapy.

Please answer the following questions on this form, to determine if you might be at risk for a sleep disorder. For questions, please contact: CPAPquestions@wjmc.org.

If you would like to have the Sleep Disorders Center discuss the results of this form with you, please feel free to call us 504.349.6966.