STOPBANG Questionnaire
Please make sure all questions are complete before viewing your results
First Name
*
Middle Name
Last Name
*
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
SNORING - Do you snore loudly?
*
Yes
No
TIRED - Do you often feel tired, fatigued or sleepy during the daytime?
*
Yes
No
OBSERVED - Has anyone observed you stop breathing or choking/gasping during the night?
*
Yes
No
PRESSURE - Do you have, or are you being treated for high blood pressure?
*
Yes
No
BMI - Do you have a body mass index greater than 35kg/m2?
*
Yes
No
AGE - Are you 50 years of age or older?
*
Yes
No
NECK - Do you have a neck circumference greater than 43cm for males or 41cm for females?
*
Yes
No
GENDER - is your gender male?
*
Yes
No
STOPBANG Score
Submit
Should be Empty: