1. Snoring affects my relationship with my partner

• Never
• Infrequently
• Frequently (2-3 nights per week)
• Most of the time (3 plus nights/week)

2. Snoring causes my partner to be irritable or tired

• Never
• Infrequently
• Frequently (2-3 nights per week)
• Most of the time (3 plus nights/week)

3. Snoring requires us to sleep in separate rooms

• Never
• Infrequently
• Frequently (2-3 nights per week)
• Most of the time (3 plus nights/week)

4. My snoring is loud

• Never
• Infrequently
• Frequently (2-3 nights per week)
• Most of the time (3 plus nights/week)

5. My snoring affects people when I am sleeping away from home (i.e. hotel, camping, etc.)

• Never
• Infrequently
• Frequently (2-3 nights per week)
• Most of the time (3 plus nights/week)