| 1. People tell me I snore. |
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| 2. My bed partner is disturbed by my snoring. |
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| 3. My snoring disturbs others in the next room. |
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| 4. My snoring has become progressively worse. |
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| 5. I snore when I sleep on my back. |
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| 6. I snore while sleeping in all positions. |
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| 7. I have been told I stop breathing between snores. |
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| 8. My snoring causes me to awaken suddenly. |
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| 9. I snore at night and I am sleepy during the day. |
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| 10. I snore at night and I am sleepy during the day. |
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