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Sleep Assessment

Sleep Symptom Assessment

This questionnaire is a simple, evidence-based screening tool designed to identify individuals who may be at risk for obstructive sleep apnea. 

This screening does not provide a diagnosis but helps guide our clinical team in ensuring that timely sleep expertise and care solutions are made available to you.

If you believe you may be experiencing a sleep disorder, please schedule a sleep consultation.



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1. I’ve been told that I snore loudly

 
 

2. I feel tired and sleepy during the day/do not feel refreshed after sleeping

 
 

3. I’ve been told that I stop breathing while asleep, although I don’t recall this when I wake up

 
 

4. I have high blood pressure

 
 

5. I am obese/overweight, seem to be gaining weight, or have a BMI ≥ 35

 
 

6. I am 50 years old or greater

 
 

7. I suddenly wake up gasping for breath during the night

 
 

8. I am a man/male

 
 

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