Sleep Apnea Quiz

This is a test that will help assess your risk for having obstructive sleep apnea. Please complete the quiz and click "calculate score" at the end. In addition to your risk assessment, we will provide a summary sheet that you may print and give to your primary physician.

1. Complete the following:
height: feet, inches        weight: pounds
age:      gender:
 

Category 1
2. Do you snore? yes
no
don't know
3. Your snoring is: slightly louder than breathing
as loud as talking
louder than talking
very loud. Can be heard in adjacent rooms.
4. How often do you snore? nearly every day
3-4 times a week
1-2 times a week
1-2 times a month
never or nearly never
5. Has your snoring ever bothered other people? yes
no
6. Has anyone noticed that you quit breathing during your sleep? nearly every day
3-4 times a week
1-2 times a week
1-2 times a month
never or nearly never
 

Category 2

  
7. How often do you feel tired or fatigued after your sleep? nearly every day
3-4 times a week
1-2 times a week
1-2 times a month
never or nearly never
8. During your wake time, do you feel tired, fatigued or not wake up to par? nearly every day
3-4 times a week
1-2 times a week
1-2 times a month
never or nearly never
9a. Have you ever nodded off or fallen asleep while driving a vehicle? yes
no
9b. If yes, how often does it occur? nearly every day
3-4 times a week
1-2 times a week
1-2 times a month
never or nearly never
 

Category 3

  
10. Do you have high blood pressure? yes
no
don't know