Name: TMJ & Sleep Therapy Centre of Fort Wayne
Address: 9121 Illinois Rd., Fort Wayne, IN, 46804, US
Telephone: +1-260-434-0099

THIS FREE 15 SECOND QUIZ CAN HELP SAVE YOUR LIFE!

Have you been told you Snore, or know that you Snore/make breathing noises while sleeping?*
- Yes
- No
Do you often feel Tired, fatigued or sleepy during the day?*
- Yes
- No
Has anyone Observed you stop breathing during sleep?*
- Yes
- No
Do you have or have you been treated for High Blood Pressure?*
- Yes
- No
Is your Body Mass Index (BMI) more than 35 lbs/in²?*
- Yes
- No
- Not Sure? Click here for BMI Calculator.
Is your Age more than 50 years old?*
- Yes
- No
Is your Neck circumference greater than 16 inches?*
- Yes
- No
Is your Gender male?*
- Yes
- No
Please fill out the short form below and we will email you the results.
Name*
First Last
Email*
Phone

Please fill out the short form below and we will email you the results.