Please answer the following questions to determine if you are a candidate: 1. Do you suffer with Frequent headaches or migraines? —Please choose an option—YesNo 2. Do you Snore? —Please choose an option—YesNo 3. Do you Clench or grind your teeth? —Please choose an option—YesNo 4. Are you a chronic Mouth Breather? —Please choose an option—YesNo 5. Do you have Difficulty swallowing pills? —Please choose an option—YesNo 6. Are you currently wearing an oral appliance in the day or night? —Please choose an option—YesNo 7. Do you wake up multiple times in the night? —Please choose an option—YesNo 8. Can you Whistle? —Please choose an option—YesNo 9. Do you have a gag reflex? —Please choose an option—YesNo 10. Do you have a difficult time chewing food or biting into food? —Please choose an option—YesNo What is your email address so we can reach out if you are a candidate?
