Sleep Apnea Questionnaire

Is it possible you have Obstructive Sleep Apnea (OSA)?

The STOP-Bang questionnaire was specifically developed to meet the need for a reliable, concise, and easy-to-use screening tool for those at risk for Obstructive Sleep Apnea.

Let’s find out if we can help!

    Snoring?

    Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?

    Tired?

    Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling asleep during driving or talking to someone)?

    Observed?

    Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep?

    Pressure?

    Do you have or are being treated for High Blood Pressure?

    Body Mass Index more than 35?

    BMI Calculator

    Your BMI is .

    Age older than 50?

    Neck size large? (Measured around Adams apple)

    Is your shirt collar 16 inches / 40cm or larger?

    Gender = Male?







    Have you been officially diagnosed with sleep apnea within the last five years? (optional)

    YesNo