EXIT Laser Treatment for Snoring and Sleep Apnea Question Title * 1. Snoring ?Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)? Yes No OK Question Title * 2. Tired ?Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling asleep during driving or talking to someone)? Yes No OK Question Title * 3. Observed?Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep? Yes No OK Question Title * 4. Pressure?Do you have or are being treated for High Blood Pressure? Yes No OK Question Title * 5. Body Mass Index more than 35 kg/m2?You can calculate it here OK Question Title * 6. Age older than 50? Yes No OK Question Title * 7. Is neck size larger than: For male, is your shirt collar 17 inches / 43cm or larger?For female, is your shirt collar 16 inches / 41cm or larger? Yes No OK Question Title * 8. Gender = Male? Yes No OK Question Title * 9. Please fill in your contact information to receive the $100 discount on your first Treatment First name * Last name Email Address * Phone Number * OK Question Title * 10. How would you like us to contact you? Phone call text message email OK DONE