Sleep Apnea Peer Mentors Sign Up AWAKE Peer Mentors eligibility Name Name First First Last Last Email Phone Are you a shift worker, work nights regularly? No Yes Are you Using a PAP machine to treat your apnea (CPAP, Auto PAP, Bilevel PAP) for at least one (1) year? Yes No Please tell us why you answered NO to the question above. Using PAP but for less than 1 year Oral Appliance Sleep Positioning Device Nasal Expiratory Resistance Device Weight Loss and/or Diet, Exercise Upper Airway Stimulation Implant Great! Let’s get more information to help us best match you with your Mentee(s). Gender * Male Female Transgender Male Transgender Female Fluid Questioning or Unsure Prefer Not To Answer Year of Birth * Zip Code * Your Time Zone Eastern US Central US Mountain US Pacific US Hawaii/Alutian Alaska Daylight Time Outside of the US PM_starting_date Submit Δ
