Sleep Apnea Questionnaire

Take our sleep apnea questionnaire to see if you are susceptible to sleep apnea. When you are done you will have a score out of 8 and this will show you your risk of OSA.

5 – 8 is a high risk.
3 – 4 is an intermediate risk.
0 – 2 is a low risk.

Name
First Last
Phone
Email
Do you snore?*
Do you Snore loudly (louder than talking or loud enough to be heard through closed doors)
- Yes
- No
Do you often feel tired?*
Do you often feel tired, fatigued or sleepy during daytime?
- Yes
- No
Has anyone observed you not breathing?*
Has anyone observed you stop breathing during your sleep?
- Yes
- No
Do you have High Blood Pressure?*
Do you have or are you being treated for high blood pressure?
- Yes
- No
BMI score*
Is your BMI Score over 35kg/m2?
- Yes
- No
Age*
Is your age over 50 years?
- Yes
- No
Neck Circumference*
Is your neck circumference greater than 16 inches (40cm)?
- Yes
- No
Gender*
Select your gender.
- Male
- Female
Total Score
If you score between 5 and 8 you have a high risk of OSA. A score of between 3 and 4 means you have an intermediate risk. And between 0 and 2 you have a low risk.
CAPTCHA

Don't Hesitate

Let us help you!

Contact Us!

Don't Hesitate

Let us help you!

Contact Us!

let's talk!

Name

Phone

Email