Dormio

Welcome!

Welcome!

We are excited to start this journey with you.

This questionnaire is designed to provide you with comprehensive insights on your sleep health. It consists of questions found in a variety of sleep assessment tools as well as questions we have developed with input from a variety of experienced clinicians. This allows us to give you informative feedback on your sleep health.

Once you have completed the questionnaire, you will be redirected to a payment page. You must pay the R149 fee before you will be able to receive your results. After you have made the payment, we will be notified and your results sent to you. If you do not receive your results, please email us at screening@khayahealth.com

We hope you enjoy learning more about your sleep!

This survey is conducted in accordance with the Protection of Personal Information Act (POPIA). Your personal and health-related information will be handled with the utmost confidentiality and used solely for the purposes of this generating your report. You may withdraw at any point and requestion deletion of your data without penalty. No identifiable personal information will be published or shared. Data will be stored securely and only accessible to authorised Khaya HealthTech representatives.

View Privacy Policy

Disclaimer
The questionnaire you are about to complete is intended to help you think through your sleep habits, provide some basic feedback, and screen for possible risk of sleep disorders. It is not a diagnostic test, and it does not substitute for a full medical examination, sleep study, or consultation with a qualified healthcare provider.

This report is for informational purposes only, and any decision regarding diagnosis, monitoring, or treatment should be made by your healthcare provider.

If you are experiencing severe symptoms, such as stopping breathing during sleep, excessive daytime sleepiness, choking or gasping during sleep, loud snoring with witnessed pauses, or other serious health issues, you should seek urgent medical advice rather than relying solely on this tool.

By providing your consent, you acknowledge that you have read and understood the purpose of this survey and you voluntarily consent to the collection and processing of your personal and health information for the indicated purposes. You may contact us at any time for queries, corrections, or to request deletion of your data. 

Page 2

Page 2

Summary

You have completed the Sleep Questionnaire. Review or change your answers by navigating to previous pages, or submit your response below.


The button will take you to a payment link, which you need to complete before the results will be emailed to you.


Page 1 / 1