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Andrew P. Galante, DMD, MAGD
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Andrew P. Galante, DMD, MAGD
31-D Mountain Blvd
Warren, NJ 07059
Andrew P. Galante, DMD, MAGD Office Phone Number
(908) 561-3939
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Dr. Andrew Galante
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Diagnosing Sleep Apnea
Do you have obstructive sleep apnea (OSA)?
Should you get a sleep study evaluation?
The Airway Centric Relation
What is Sleep Apnea (OSA)?
Do you snore?
Pediatric Sleep Questionnaire
Sleep Hygiene
Benefits of Breathing Through Your Nose
The Older You Are, The Worse You Sleep
Three Pillars of Health
The Rich and Famous Snore and have Sleep Apnea
Drowsy Driving
Causes of Interrupted Sleep
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Home
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Diagnosing Sleep Apnea
/
Pediatric Sleep Questionnaire
Pediatric Sleep Questionnaire
Pediatric Sleep Questionnaire
Is your child struggling to sleep?
Take our pediatric sleep questionnaire to find out answers, and call us to schedule a consult so we can help!
Your Name
*
Your E-mail Address
*
Your Phone Number
*
Does your child have trouble going to bed or falling asleep?
Yes
No
Awaken during the night and have trouble returning to sleep?
Yes
No
Does he or she tend to breathe through their mouth during the day or during sleep?
Yes
No
Have dry mouth or bad breath upon waking in the morning?
Yes
No
Have you noticed any of the following while your child is sleeping?
Snoring, heavy or loud breathing?
Break or pause in breathing
Gasp, choke or struggle to breathe
Restless or agitated sleep? Grinding teeth
Abnormal head posture? (hyper-extension, etc.)
Excessive sweating
Wetting the bed
Have you noticed and of the following during the day?
Difficulty waking
Wakes with headache
Groggy, tired, or "out of it"?
Hyperactive
Teachers commented
Child often:
Does not seem to listen when spoken to directly
Has difficulty organizing tasks
Easily distracted by extraneous stimuli
Fidgets with hands or feet or squirms in seat
Interrupts or intrudes on others
Is your child frequently sick, have a history of sore throat, ear infections, sinus infections or allergies?
Yes
No
Stop growing at a normal rate at any time since birth? Or are they overweight?
Yes
No
Habits such as: pacifier/thumb sucking/lip biting, or other?
First Choice
Second Choice
Third Choice
Address
This field is for validation purposes and should be left unchanged.
Δ
Hoping to get a more restful night's sleep?
Contact our office to get evaluated by
Dr. Galante
and see if you need help with sleep apnea.
Schedule an Appointment
Map & Driving Directions
Diagnosing Sleep Apnea
Learn more about
Do you have obstructive sleep apnea (OSA)?
Learn more about
Should you get a sleep study evaluation?
Learn more about
The Airway Centric Relation
Learn more about
What is Sleep Apnea (OSA)?
Learn more about
Do you snore?
Learn more about
Pediatric Sleep Questionnaire
Learn more about
Sleep Hygiene
Learn more about
Benefits of Breathing Through Your Nose
Learn more about
The Older You Are, The Worse You Sleep
Learn more about
Three Pillars of Health
Learn more about
The Rich and Famous Snore and have Sleep Apnea
Learn more about
Drowsy Driving
Learn more about
Causes of Interrupted Sleep
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