STOP-BANG Score for Obstructive Sleep Apnea
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
Over the last 2 weeks, how often have you been bothered by the following problems?
Rows
No
Yes
1. Do you snore loudly?
2. Do you often feel tired, fatigued, or sleepy during the daytime?
3. Has anyone observed you stop breathing during sleep?
4. Do you have (or are you being treated for) high blood pressure?
STOP-BANG Score (0-2 Low risk) (3-4 High Risk)
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