THE EXPRESS SLEEP TEST 

  • THE EXPRESS SLEEP TEST ASSESSMENT FORM

    Getting you tested with speed

  • We're almost finished processing your WatchPat order.

    To assist the Sleep & Respiratory Specialist in analyzing your sleep test data please complete this short online sleep health assessment form.

    Please again provide your name and contact details.

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  • THE SLEEP ASSESSMENT

  • The following assessment parts are click-based questions designed to collect health and medical information to assist the Sleep & Respiratory Physician.

    Part 1) List Symptoms and Medical Conditions

    Part 2) Complete two sleep health industry-based questionnaires.   

    The information provided in this form is reviewed by an Australian Sleep & Respiratory Physician as part of your sleep health assessment.  This information assists the specialist when analyzing your night of sleep test data and formulating your sleep report. 

     

  • PART 1.

  • SYMPTOMS AND MEDICAL HISTORY

  • PART 2.

  • SLEEP QUESTIONNAIRES

    StopBang and Epworth Sleepiness Scale

  • The following two questionnaires are industry-standard sleep health questionnaires designed to assess symptoms and risk factors for obstructive sleep apnea and daytime sleepiness.

    Reviewed by an Australian Sleep & Respiratory Physician these risk scores are included in your sleep test report and used by the specialist when analyzing your night of sleep test data and formulating your sleep report. 

    To help you complete each questionnaire:

    Let's start by calculating your Body Mass Index Score (BMI).

     

  • STOP-BANG

    #1 Sleep questionnaire
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  • EPWORTH SLEEPINESS SCALE

    #2 Sleep questionnaire

  • The ESS questionnaire assesses your level of daytime sleepiness based on how likely you are to doze off or fall asleep in various situations.

     

    Select the number score that best describes your likelihood of dozing off or falling asleep. 

    0 = no chance of falling asleep/dozing

    1 = mild chance of falling asleep/dozing

    2 = moderate chance of falling asleep/dozing

    3 = severe chance of falling asleep/dozing

  • Rows

  • RATE YOUR OVERALL SLEEP QUALITY

  • NEXT STEPS

    Click the submit button at the end of this form.

    A PDF copy of your sleep health assessment today will be sent to your provided email. You are welcome to share this with your GP or health professional together with your sleep test report.

    Please check your email to retrieve your confirmation purchase order and postal tracking number.

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