Sleep Apnea Assessment

This simple questionnaire can help you determine if you might have sleep apnea.

Upon submission of the form, your result will indicate if you should seek additional medical advice from a Memorial Sleep Disorders Center physician.

Do you snore loudly?
Do you often feel tired, fatigued, or sleepy during the daytime?
Has anyone seen you stop breathing while you were sleep?
Do you have or are you being treated for high blood pressure?
Do you have high cholesterol or take medication to treat high cholesterol?
Are you obese or very overweight (BMI more than 35 kg/m2)?
Are you over 50 years old?
Do you smoke, use tobacco products, or are you exposed to second-hand smoke on a daily basis?
Is your neck circumference more than 16 inches?
Are you male?