Sleep Apnea Questionnaire

  • Sleep Apnea Questionnaire

  • Yes to 0 -2 Questions: Low Risk of Sleep Apnea

    Yes to 3 - 4 Questions: Intermediate Risk of Sleep Apnea

    Yes to 5- 8 Questions: High Risk of Sleep Apnea

    OR Yes to 2 or more of questions + male gender

    OR Yes to 2 or more of questions + BMI > 35 kg/m2

    OR Yes to 2 ore more of questions + neck circumference > 16 inches / 40 cm

  • 1. Do you snore loudly? (Loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night.)
  • 2. Do you often feel tired, fatigued, or sleepy during the daytime? (Such as falling asleep during driving or talking to someone.)
  • 3. Has anyone observed you stop breathing or choking/gasping during your sleep?
  • 4. Do you have or are being treated for high blood pressure?
  • 5. Body mass index more than 35 kg/m2?
  • 6. Age older than 50?
  • 7. Is your shirt collar 16 inches/40 cm or larger?
  • 8. Gender male?
  • Should be Empty: