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Snoring Questionnaire Mobile App

The Snoring Questionnaire mobile app allows physicians and sleep clinics to collect patients medical and surgical histories and use the acquired information for diagnosis and treatment of chronic snoring issues. A GoCanvas account can be specified as being HIPAA compliant. By turning on HIPAA compliance, a number of features that most of users find desirable will be disabled to meet HIPAA Standards. Individual apps in the GoCanvas Application Store can easily be made HIPAA Compliant. If you have any questions or need assistance you can contact our Sales team to help you at Sales@GoCanvas.com. If you would like to enable HIPAA on your GoCanvas account please follow the instructions below: 1. Log onto your Account 2. Click “My Account” in the top right corner of the screen 3. Click “Customize” on the left 4. The third option is for HIPAA Compliance, click “Edit” on the right 5. Check the “Enable HIPAA Compliance” box and select “Save”

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Snoring Questionnaire Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Name:

  • Ico date

    Date:

  • Ico date

    Date of Birth:

  • Ico integer

    Age:

  • Ico dropdown

    Sex:

  • Ico decimal

    Height:

  • Ico decimal

    Weight:

  • Ico textbox

    Neck (collar) size:

  • Ico decimal

    BMI:

  • Ico checkbox

    Asthma

  • Ico checkbox

    Irregular heart beat

  • Ico checkbox

    Diabetes

  • Ico checkbox

    No Sinusitis

  • Ico checkbox

    Heart failure

  • Ico checkbox

    Sleep apnea

  • Ico checkbox

    Hypertension

  • Ico checkbox

    Thyroid Disease

  • Ico statictext

    Past Surgical History (please include approximate dates of surgery)

  • Ico date

    Adenoidectomy

  • Ico date

    Nasal Septal Surgery

  • Ico date

    Tonsillectomy

  • Ico date

    Tonsillectomy

  • Ico date

    Sinus Surgery

  • Ico date

    LAUP

  • Ico date

    Maxillofacial

  • Ico date

    Uvulopalatoplasty (UPP)

  • Ico date

    Tracheolstomy

  • Ico checkbox

    Gained weight recently?

  • ...and More!

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