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Do you experience sleepiness during the day If so is the daytime sleepiness worse morning mid-day afternoon late evening 9. Sleep History Questionnaire Name Age Ht Wt Date 1. What time do you normally go to bed 2. Do you have difficulty falling asleep at the beginning of the night Yes or No If so how long does it usually take for you to finally fall asleep 4. Have you ever fallen asleep while driving 10. Do you frequently take naps during the day 11. Have you ever been told that you snore at...
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