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SLEEP QUIZ
1. Are you generally dissatisfied with the quality of your sleep?
Yes
No
2. Do you usually find sleep un-refreshing?
Yes
No
3. Do you snore on a regular basis?
Yes
No
4. Do you hold your breath during sleep?
Yes
No
5. Do you have persistent trouble getting to or staying asleep?
Yes
No
6. Do you frequently have trouble staying alert and awake all day?
Yes
No
7. Do you have trouble getting to sleep because your legs or arms feel "funny", restless or uncomfortable?
Yes
No
8. Do you have unusual behaviors or movements during sleep?
Yes
No
9. Do you do or say things during sleep that you can't remember the next day?
Yes
No
First Name
*
Last Name
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Email (we will keep it completely private)
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YES! I'd like to receive ASMC's monthly newsletter containing sleep tips & sleep news.
FusionSleep - Johns Creek
4245 Johns Creek Parkway
Johns Creek, Georgia 30024
FusionSleep - Atlanta North
1100 Johnson Ferry Road NE
Building 1, Suite 420
Atlanta, GA 30342
FusionSleep - East Cobb
1121 Johnson Ferry Road, Suite 215
Marietta, GA 30068
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