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Self-Assessment
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Dr. Alshaer Self-Assessment
Step 1 of 6
16%
The Basics
Gender (at birth)
*
Male
Female
Year of Birth
*
Please enter a number from
1900
to
2010
.
Ethnic Background
Asian
Black / African descent
East Indian
Latino / Hispanic
Middle Eastern
Native American
Pacific Islander
White / Caucasian
Other
Select you Ethnic Background
Privacy
*
I agree to the
privacy policy.
Wakebite does not collect or store any identifying information.
Use of Service
*
I understand that the online self-assessment and other services provided herein are solely for the my own information on general well-being and do not substitute medical diagnosis or treatment.
Body Measurements
What is your preferred measurement units?
*
Select Preferred Units
Metric Units (Kilogram, Centimeter)
Imperial Units (Pound, Foot, Inch)
Height (in centimeters)
*
Please enter a number from
30
to
300
.
Weight (in kilograms)
*
Please enter a number from
10
to
400
.
Neck Circumference (in centimeters)
*
Please enter a number from
20
to
100
.
Waist Circumference (in centimeters)
*
Please enter a number from
30
to
300
.
Height (feet)
*
3
4
5
6
7
8
9
10
Height (inches)
*
0
1
2
3
4
5
6
7
8
9
10
11
Weight (in pounds)
*
Please enter a number from
20
to
1000
.
Neck Circumference (in inches)
*
Please enter a number from
7
to
40
.
Waist Circumference (in inches)
*
Please enter a number from
10
to
120
.
Snoring
Do you snore, or have been told that you snore by people sharing your bedroom?
*
Often
(3 nights or more a week)
Sometimes Often
(1-2 nights a week)
Never or rare Often
(less than once a week)
The loudness of your snoring is:
*
Very Loud:
Can be heard through a closed door
Loud:
Louder than talking
Soft:
Slightly louder than breathing or as loud as talking or none
If you don't snore select Soft
Has your snoring bothered other people?
*
Yes
No
Not Sure
Apneas
Has anyone noticed that you stop breathing, or choke, or gasp during your sleep?
*
Often
(3 nights or more a week)
Sometimes
(1-2 nights a week)
Never or rarely
(less than once a week)
Sleepiness
Do you often feel tired or fatigue immediately after sleep?
*
Often
(3 days or more a week)
Sometimes
(1-2 days a week)
Never or rarely
(less than once a week)
During your wake-time, do you feel tired, fatigued or not up to par?
*
Often
(3 days or more a week)
Sometimes
(1-2 days a week)
Never or rarely
(less than once a week)
How often do you nod-off or briefly fall asleep while driving a vehicle?
*
Often
(3 days or more a week)
Sometimes
(1-2 days a week)
Never or rarely
(less than once a week)
Blood Pressure
Do you have or are you being treated for high blood PRESSURE?
*
Yes
No
Not Sure
Dr. Alshaer Self-Assessment
Step 1 of 6
16%
The Basics
Gender (at birth)
*
Male
Female
Year of Birth
*
Please enter a number from
1900
to
2010
.
Ethnic Background
Asian
Black / African descent
East Indian
Latino / Hispanic
Middle Eastern
Native American
Pacific Islander
White / Caucasian
Other
Select you Ethnic Background
Privacy
*
I agree to the
privacy policy.
Wakebite does not collect or store any identifying information.
Use of Service
*
I understand that the online self-assessment and other services provided herein are solely for the my own information on general well-being and do not substitute medical diagnosis or treatment.
Body Measurements
What is your preferred measurement units?
*
Select Preferred Units
Metric Units (Kilogram, Centimeter)
Imperial Units (Pound, Foot, Inch)
Height (in centimeters)
*
Please enter a number from
30
to
300
.
Weight (in kilograms)
*
Please enter a number from
10
to
400
.
Neck Circumference (in centimeters)
*
Please enter a number from
20
to
100
.
Waist Circumference (in centimeters)
*
Please enter a number from
30
to
300
.
Height (feet)
*
3
4
5
6
7
8
9
10
Height (inches)
*
0
1
2
3
4
5
6
7
8
9
10
11
Weight (in pounds)
*
Please enter a number from
20
to
1000
.
Neck Circumference (in inches)
*
Please enter a number from
7
to
40
.
Waist Circumference (in inches)
*
Please enter a number from
10
to
120
.
Snoring
Do you snore, or have been told that you snore by people sharing your bedroom?
*
Often
(3 nights or more a week)
Sometimes Often
(1-2 nights a week)
Never or rare Often
(less than once a week)
The loudness of your snoring is:
*
Very Loud:
Can be heard through a closed door
Loud:
Louder than talking
Soft:
Slightly louder than breathing or as loud as talking or none
If you don't snore select Soft
Has your snoring bothered other people?
*
Yes
No
Not Sure
Apneas
Has anyone noticed that you stop breathing, or choke, or gasp during your sleep?
*
Often
(3 nights or more a week)
Sometimes
(1-2 nights a week)
Never or rarely
(less than once a week)
Sleepiness
Do you often feel tired or fatigue immediately after sleep?
*
Often
(3 days or more a week)
Sometimes
(1-2 days a week)
Never or rarely
(less than once a week)
During your wake-time, do you feel tired, fatigued or not up to par?
*
Often
(3 days or more a week)
Sometimes
(1-2 days a week)
Never or rarely
(less than once a week)
How often do you nod-off or briefly fall asleep while driving a vehicle?
*
Often
(3 days or more a week)
Sometimes
(1-2 days a week)
Never or rarely
(less than once a week)
Blood Pressure
Do you have or are you being treated for high blood PRESSURE?
*
Yes
No
Not Sure
Self-Assessment
