Welcome to the Sleep Patient Questionnaire For Your Appointment With Dr. Sethi.
*All information on this form is strictly confidential*
Due to privacy and security features, the questionnaire will time out after 5 minutes of not being used.
Please complete the questionnaire in one sitting, to prevent it from asking you to restart.
Most of the questions require only a check, so it will go quickly.
Estimated completion time is 10-12 minutes.
You may need to ask family members about family history, please do so.
It is our belief that the information you provide will help us assess and treat you better.
If you are unable to answer a question, please proceed without answering unless it is a required field.
If you have any questions, please contact us.
Thank you!
