Test – Are you at risk?

Apnea Questionnaire

Sleep disorder specialists use the STOP BANG questionnaire, a recognized screening tool that helps predict your risk factor for sleep apnea. Although nothing can replace a professional consultation, take the test to evaluate the risks and contact us for more information.

 

STOP BANG Questionnaire

Snoring

Do you snore loudly - loud enough to be heard through closed doors or for your bed partner to elbow you at night because you snore?

Yes (0) No (1)

Fatigue

Do you often feel tired, run down or sleepy during the day (for example, do you fall asleep at the wheel)?

Yes (0) No (1)

Comments

Has anyone pointed out that you stop breathing, choke, or desperately search for air while you sleep?

Yes (0) No (1)

Pressure

Do you have high blood pressure or are you receiving treatment for it?

Yes (0) No (1)

BMI

Is your Body Mass Index greater than 35 kg/m2? (If you don't know your BMI, do the calculation here.)

Yes (0) No (1)

Age

Are you over 50 years old?

Yes (0) No (1)

Neck width (measured at the height of the Adam's apple)

For a man, is your shirt collar size 17" or larger?

For a woman, is your shirt collar size 16" or larger?

Yes (0) No (1)

Gender

Are you male?

Yes (0) No (1)

 

Calculate your score: ____

Add up all your answers to determine your risk factor for obstructive sleep apnea (OSA) established for the general population, based on the following scoring criteria:

Low risk of OSA	You answered YES to 0 to 2 questions
Average risk of OSA	You answered YES to 3 to 4 questions
High risk of OSA	You answered YES to 5 to 8 questions You answered YES to 2 or more of the first 4 questions + you are male You answered YES to 2 or more of the first 4 questions + your BMI is over 35 kg/m2 You answered YES to 2 or more of the first 4 questions + your neckline is greater than 43 cm (17 in) male or 41 cm (16 in) female