OSA Test

Obstructive Sleep Apnoea Screening Questionnaire

Obstructive Sleep Apnea Test

Question 1: Snoring?(Required)
Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?
Question 2: Tired?(Required)
Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling asleep during driving or talking to someone)?
Question 3: Observed?(Required)
Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep?
Question 4: Pressure?(Required)
Do you have or are being treated for High Blood Pressure?
Question 5: Body Mass Index more than 35 kg/m2?(Required)
Question 6: Age older than 50 year old?(Required)
Question 7: Neck size large?(Required)
(Measured around Adams apple) For male, is your shirt collar 17 inches/43 cm or larger? For female, is your shirt collar 16 inches/41 cm or larger?
Question 8: Gender = Male?(Required)
MM slash DD slash YYYY

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