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Snores at Night?
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Snoring Severity
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Pauses in Breathing?
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Difficulty Falling Asleep?
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Difficulty Staying Asleep?
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Restless Legs?
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Kicking & Twitching?
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Drowsy while Driving?
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Tiredness During Day?
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Awaken Feeling Paralyzed
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Loss of Strength - Legs/Arms
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Experiences the Following
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Sitting and Reading
• • •
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Watching TV
• • •
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Sitting Inactive - Public Place
• • •
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Lying Down to Rest - Afternoon
• • •
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Passenger in a Car
• • •
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Sitting & Talking
• • •
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In Car - Stopped in Traffic
• • •
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Sitting after lunch w/o Alcohol
• • •
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