Does your child snore?:YesNo

Does your child wake up not refreshed?:YesNo

Is your child a restless sleeper?:YesNo

Is your child often tired and cranky?:YesNo

Does your child have large tonsils?:YesNo

Does your child have a retrusive lower jaw [no chin]?:YesNo

Does your child have constricted dental arches [crowded teeth]?:YesNo

Does your child have dark circles under their eyes [tired eyes]?:YesNo

Does your child wet the bed?:YesNo

Does your child have frequent bad dreams?:YesNo