Screening Questionnaire

Do you have Sleep Apnea?

Screening Questionnaire - Check if you have Sleep Apnea?

This sleep apnea screener uses the STOP BANG questionnaire to help you determine your risk of sleep apnea. Please have a pen and paper ready to record your answers to each question. Once you have completed the questionnaire, please share your results with your doctor

STOP BANG (Answer yes or no for each question)

  • S (Snore)

    Do you snore?

  • T (Tired)

    Do you feel fatigued during the day?

  • O (Obstruction)

    Do you gasp for air or choke while sleeping?

  • P (Pressure)

    Do you have high blood pressure?

SCORE (If you check YES to TWO or more questions on the STOP portion you are at risk for OSA

  • B (BMI)

    Is your body mass index great than 28? Calculate HERE

  • A (Age)

    Are you 50 years or older?

  • N (Neck)

    Are you a male with neck circumference greater than 17 inches?

    Are you a female with neck circumference greater than 16 inches?

  • G (Gender)

    Are you a male?

SCORE: The BANG portion of the STOP BANG questionnaire assesses your risk of having moderate to severe obstructive sleep apnea (OSA). If you answered YES to more than TWO of the questions, you are at an increased risk of OSA and should talk to your doctor about scheduling a sleep study.