Sleep Apnea Questionnaire Do you Snore Loudly?*Loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night. Yes No Do you often feel Tired, Fatigued, or Sleepy during the daytime?*Such as falling asleep during driving or talking to someone. Yes No Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep?* Yes No Do you have or are being treated for High Blood Pressure?* Yes No Are you older than 50?* Yes No Do you have a large neck size?*Measuring around the Adams apple a diameter larger than 16 inches (40 cm) Yes No GenderSelect an optionMaleFemaleHeight*Please enter a number greater than or equal to 0.Height ScalecminchesWeight*Please enter a number greater than or equal to 0.Weight Scalekglbs Your BMIQuantityResultsBased on your answer you are at a low risk for sleep apneia.Want to know more? Contact us for more information.Name First Last Email
