Children’s Sleep Apnea Quiz

1. Does your child snore?*
- Yes
- No
2. Does your child breathe through their mouth at night?*
- Yes
- No
3. Does your child grind their teeth at night?*
- Yes
- No
4. Does your child frequently wet the bed?*
- Yes
- No
5. Does your child seem tired during the day?*
- Yes
- No
6. Does your child have difficulty concentrating?*
- Yes
- No
7. Does your child have trouble in school?*
- Yes
- No
8. Has your child been diagnosed with ADHD or ADD?*
- Yes
- No
9. Does your child's teeth seem "crowded"?*
- Yes
- No
10. Does your child have a "gummy" smile?*
- Yes
- No
11. Does your child regularly have dark circles under their eyes?*
- Yes
- No
Quiz Total
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Name*
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