Welcome to the Sleep Apnoea Questionnaire

This questionnaire involves 16 questions to test if you may be at risk of Obstructive Sleep Apnoea, the approximate time is around 5 minutes.

Begin

Sleep Apnoea Questionnaire

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Snoring
Do you snore loudly (loud enough to be heard through closed doors)?

Sleep Apnoea Questionnaire

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Tired
Do you often feel tired, fatigued, or sleepy during the daytime (falling asleep while driving or talking to someone)?

Sleep Apnoea Questionnaire

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Observed
Has anyone observed you stop breathing or choking/gasping during your sleep?

Sleep Apnoea Questionnaire

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Pressure
Do you have or are you being treated for high blood pressure?

Sleep Apnoea Questionnaire

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Body Mass Index
Is your Body Mass Index (BMI) more than 35kg/m2 according to your height and weight?
BMI-

Sleep Apnoea Questionnaire

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Age
Are you older than 50?

Sleep Apnoea Questionnaire

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Neck
Do you have a large sized neck? For male, is your shirt collar 17 inches / 43 cm or larger? For female, is your shirt collar 16 inches / 41cm or larger? (measured around Adam's apple)

Enter your neck circumference measured around the Adam's apple.

Sleep Apnoea Questionnaire

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Gender
Are you male?

Epworth Sleepiness Scale

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Please answer the following questions on how likely you would be to doze off or fall asleep, while doing the following activities.
Sitting and reading :

Epworth Sleepiness Scale

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Please answer the following questions on how likely you would be to doze off or fall asleep, while doing the following activities.
Watching television :

Epworth Sleepiness Scale

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Please answer the following questions on how likely you would be to doze off or fall asleep, while doing the following activities.
Sitting inactive in a public place (e.g. a theatre/meeting):

Epworth Sleepiness Scale

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Please answer the following questions on how likely you would be to doze off or fall asleep, while doing the following activities.
As a passenger in a car for an hour with no break:

Epworth Sleepiness Scale

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Please answer the following questions on how likely you would be to doze off or fall asleep, while doing the following activities.
Lying down in the afternoon (when possible):

Epworth Sleepiness Scale

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Please answer the following questions on how likely you would be to doze off or fall asleep, while doing the following activities.
Sitting and talking to someone:

Epworth Sleepiness Scale

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Please answer the following questions on how likely you would be to doze off or fall asleep, while doing the following activities.
Sitting quietly after lunch without alcohol:

Epworth Sleepiness Scale

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Please answer the following questions on how likely you would be to doze off or fall asleep, while doing the following activities.
In a car, while stopped for a few minutes in traffic: