Sleep Apnoea Sleep Assessment

How likely are you to doze off when sitting and reading?

How likely are you to doze off when watching television?

How likely are you to doze off when sitting inactive in public?

How likely are you to doze off when sitting as a passenger in a car for an hour with no break?

How likely are you to doze off when lying down in the afternoon?

How likely are you to doze off when sitting and talking to someone?

How likely are you to doze off when sitting quietly after lunch without alcohol?

How likely are you to doze off when in a car, stopped for a few minutes in traffic?

Do you often snore loud enough to be heard through closed doors?

Do you often feel Tired, Fatigued, or Sleepy during the daytime?

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

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

Is your neck size large?
(Measured around Adams apple)

For male, is your shirt collar 17in/ 43cm or larger?
For female, is your shirt collar 16in / 41cm or larger?

What is your gender?

Are you older than 50?

BMI Calculation

Has anyone observed you grinding your teeth while you sleep?

Do you often wake up with jaw pain or stiffness?

Do your teeth feel sore or sensitive when you wake up?

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