Neend Survey form

+91 8977909909
info@neend.org

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"Neend Foundation" is established for the benefit of citizens of India and for all class of people without discrimination of caste, religion, creed or sex. So come join "Neend" and have a good and healthy sleep. Our original aim is to turn into a platform for creative professional and providing technical solutions for all sleep disorders. Throughout years, we have retained several experienced professionals in advertising, design, writing and video production.

Why join us?

Quality Social Service
Creating awareness plug-in and campaign on Sleep Disorders
Providing professional and technical solutions for all Sleep Disorders

If you are interested in knowing more about sleep problems please fill our survey form mentioned below

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* fields are manditory

Name*

Age*

Phone Number*

Email*

Gender * Male Female

Marital Status* Yes NO

Height*

Weight (in Kg)*

BMI

BMI Are you suffering from Sleeplessness / Excessive day time Sleepiness (EDS)?

Yes NO What is your Bed time regularly? At what time do you wake up in the morning? Are you maintaining the same bed timings

Yes NO Do you wake up choking during night?

Yes NO Do you often have disturbed sleep?

Yes No Do you snore?

Yes No If yes, Do you snore loudly (louder than talking or loud enough to be heard through closed doors)

Yes NO Do you often feel tired, fatigued, or sleepy during daytime?

Yes NO Has anyone observed you stop breathing during your sleep?

Yes NO Do you have or are you being treated for any of below problems?

High BP Sugar Thyroid Obese Cardiovascular None Neck circumference (Shirt collar size) greater than 40 cm?

Yes NO Has anyone noticed you having abnormal leg movements during sleep?

Yes No Do you get a lot of dreams during sleep?

Yes NO

Our Contact

Neend Foundation
# 8-2-293/82/J/A/105,
Plot No. 105A, Near Syndicate Bank,
Hyderabad – 500033,

+91 40 2355 5282/ 83/ 84
info@neend.org

Banglore address

Neend Foundation
No.498/C 15th A Main 15th cross,
HSR Layout 4th Sector,
Bangalore - 560102

+91 80 25722475
info-blr@neend.org

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