We love to hear from our clients, please let us know if there are any areas that you think we could improve upon. FacebookThis field is for validation purposes and should be left unchanged.You have difficulty falling asleep at least two times per week. Strongly Disagree Disagree Neutral Agree Strongly Agree People have told you that you snore. Strongly Disagree Disagree Neutral Agree Strongly Agree I have fallen asleep at school or work. Strongly Disagree Disagree Neutral Agree Strongly Agree I often feel compelled to move my legs and can't keep them still. Strongly Disagree Disagree Neutral Agree Strongly Agree I often wake up during the night and can't go back to sleep. Strongly Disagree Disagree Neutral Agree Strongly Agree I have noticed my heart pounding or beating irregularly at night. Strongly Disagree Disagree Neutral Agree Strongly Agree I lie away half an hour or more before I fall asleep. Strongly Disagree Disagree Neutral Agree Strongly Agree I have trouble concentrating at school or work. Strongly Disagree Disagree Neutral Agree Strongly Agree