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														Your physician at Dimple Sharma would like to check on the health of your sleep. Over 40 million Americans suffer from a sleep disorder, and 20 million suffer from OSA. Despite the high prevalence, 93% of women and 82% of men with moderate to severe OSA remain undiagnosed. Please take this short questionnaire to determine your risk of OSA.
                                                         
												 
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                                                            It’s fast. It’s easy. It’s your health.  Follow the navigation at the top to see your progress. It’s as easy as 1 - 2 - 3
												 
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															| Results of this secure questionnaire will only be shared with Dimple Sharma. By selecting “I agree” you agree to make any information in this questionnaire available to Dimple Sharma. | 
														 
													 
												 
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    Please confirm agreement.
                        
												
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