Do You Suffer from Sleep Apnea?
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This questionnaire is designed to assess a person’s likelihood of having sleep apnea. Please answer the questions as accurately as possible. Results will be displayed at the end.
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You are at LOW RISK for obstructive sleep apnea.
You are at INTERMEDIATE RISK for obstructive sleep apnea. Consult your physician.
You are at HIGH RISK for obstructive sleep apnea. Consult a sleep medicine specialist as soon as possible to schedule a sleep study.
Question 1 of 8
Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?
Question 2 of 8
Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling asleep during driving or talking to someone)?
Question 3 of 8
Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep ?
Question 4 of 8
Do you have or are being treated for High Blood Pressure ?
Question 5 of 8
Is your Body Mass Index (BMI) more than 35 kg/m2?
(To calculate your BMI, divide your weight in kilograms by the square of your height in meters. For example, if your weight is 95 kg and your height is 162 cm, your BMI= 95/(1.75x1.62) = 36.2. Or you can use this BMI calculator.
Question 6 of 8
Is your age older than 50?
Question 7 of 8
Is your Neck size large?
(If you are male, answer Yes if you wear a collar 17 inches (43 cm) or larger. If you are female, answer Yes if you wear a collar 16 inches (41 cm) or larger.)
Question 8 of 8
Are you Male?