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Am I At Risk for Obstructive Sleep Apnea?
Do I Have Obstructive Sleep Apnea?
1.
S
noring:
Do you snore loudly?
Yes
No
2.
T
ired:
Do you often feel tired, fatigued or sleepy during the daytime?
Yes
No
3.
O
bserved:
Has anyone observed you stop breathing during your sleep?
Yes
No
4.
B
lood Pressure:
Do you have or are you being treated for high blood pressure?
Yes
No
5.
B
MI:
BMI more than 35 kg/m2?
Yes
No
6.
A
ge:
Age over 50?
Yes
No
7.
N
eck circumfrence:
Neck circumfrence greater than 40cm?
Yes
No
8.
G
ender:
Gender male?
Yes
No
Answering yes to three (3) or more items =
High risk of OSA
Answering yes to less than three (3) items = Low risk of OSA
TOTAL
Please enter a number from
0
to
8
.
Δ
