SLEEP APNOEA SELF ASSESSMENT

1. SNORING

Do you snore loudly [louder than talking or loud enough to be heard through closed doors]?   YES/NO

2. TIRED

Do you feel tired, fatigued or sleepy during the daytime?   YES/NO

3. OBSERVED

Has anyone observed you stop breathing during your sleep?   YES/NO

4. PRESSURE

Do you have or are you being treated for high blood pressure?   YES/NO

5. BMI - Body Mass Index

Is your BMI in the overweight range or higher: 25-29.9kg/m2?   YES/NO  

To work out your BMI:

• divide your weight in kilograms (kg) by your height in metres (m)

• then divide the answer by your height again to get your BMI

For example:

• if you weigh 70kg and you're 1.75m tall, divide 70 by 1.75 – the answer is 40

• then divide 40 by 1.75 – the answer is 22.9

• your BMI is 22.9kg/m2

6. AGE

Are you over 50 years of age?   YES/NO

7. NECK CIRCUMFERENCE

Is your neck circumference greater than 40cm or do you wear a collar size of "L" or larger?   YES/NO 

 

8. GENDER

Are you Male?   YES/NO 

 

General population 
OSA - Low Risk: Yes to 0 - 2 questions
OSA - Intermediate Risk: Yes to 3 - 4 questions
OSA - High Risk: Yes to 5 - 8 questions

 

If you answered yes to three or more of these questions, you have an intermediate risk or high risk of Sleep Apnoea

Please discuss these results with Dr. Delcanho. Call 1-300-1-SNORE (1-300-1-76673) or email us below.