---

It only takes 5 minutes! You will get the result INSTANTLY at the end of the questionnaire. We don’t ask for any personal information (name, email, phone number, etc.) before showing you the results.

What is an Obstructive Sleep Apnea Assessment Questionnaire?

Obstructive sleep apnea (OSA) is a disorder that can contribute to cardiopulmonary disorders and neurocognitive deficits. This sleep apnea questionnaire is a proven tool used by sleep experts to screen for obstructive sleep apnea. Questions are focused on snoring, tiredness, observed apnea, blood pressure, body mass index, age, neck circumference, and gender. Answering these questions can help identify patients at risk for sleep apnea.

If you answer yes to 3 or more questions, you are considered at high risk for OSA. If you answer less than 3 questions with a yes, you are considered low-risk for OSA.

Our physicians will follow up on the risk assessment results by using a variety of measures, such as home sleep apnea testing, sleep history, and self-reported signs to determine whether you suffer from a sleep disorder.

 Why Is The Obstructive Sleep Apnea Questionnaire Used For OSA?

The STOP-Bang Questionnaire was created by Dr. Frances Chung, a professor in the Department of Anesthesiology and Pain Management at the University Health Network, University of Toronto. By looking at key indicators including snoring, tiredness, observed apnea, high blood pressure, BMI, age, neck circumference, and gender, the questionnaire is reliable, concise, and easy to use. Multiple studies have been published in peer-reviewed journals to validate the use of the STOP-BANG tool as an effective screening tool for OSA in the general population.

What are the Screening Tools for our Sleep Assessment Questionnaire?

Sleep apnea is a vital issue in terms of morbidity and mortality, making screening for sleep apnea extremely important. The most effective screening tools have analyzed the specificity and severity of sleep apnea. The tools which are used as screening for sleep apnea assessment are Epworth Sleepiness Scale (ESS), the4-variable screening tool (4-V), and STOP-BANG (SB).

 Sleep Assessment Questionnaire: Stop-Bang (SB) Questionnaire

Questions Involved

Snoring – Do you snore loudly? Yes/No

Tired – Do you feel tired, sleepy, or fatigued during the day? Yes/No

Observed – Has anyone observed you choking or gasping while sleeping? Yes/No

Pressure – Do you have high blood pressure? Yes/No

Body Mass Index – Is your Body Mass Index more than 28?
Yes/No

Age Older Than 50 – Are you at least 50 years old? Yes/No

Neck Size – Is your neck more than 40 cm or 16 inches around?
Yes/No

Gender – Are you male? Yes/No

Conclusions Driven

• If you answer yes to 0-2 questions, then you have a low risk of sleep apnea.
• If you answer yes to 3-4 questions, then you have an intermediate risk of sleep apnea.
• If you answer yes to 5-8 questions, then you have a high risk of sleep apnea.
• If you are male and you answer yes to 2-4 questions, then you have a high risk of sleep apnea.
• If your BMI is 35 or higher and you answer yes to 2-4 questions,then you have a high risk of sleep apnea.

If your neck size is greater than 16 inches or 40 cm and you answer yes to 2-4 questions, then you have a high risk of sleep apnea.

Sleep Assessment Questionnaire: Epworth Sleepiness Scale (ESS)

Answer the following questions on a scale of 0-3 to determine your risk of having sleep apnea.

0 – If you never doze to sleep

1- There are slight chances of dozing to sleep

2 – There are moderate chances of going to sleep

3 – There are relatively higher chances of dozing to sleep Sitting
and reading

ESS Questions:

• Sitting in a car for a longer duration
• Sitting and talking to someone
• Sitting in a stopped car for a few minutes on account of a
  traffic jam
• Sitting quietly after lunch without any alcohol consumption
• Sitting inactive in a public place
• Lying down to rest in the afternoon under certain
  circumstances

ESS Conclusions

After answering the questions above, add up all your ratings to determine your total score. If your total score is between 0-10,then you have a low risk of sleep apnea. If your total score isbetween 10-12, then you have a moderate chance of having sleep apnea. If your score is between 12-24, then you have a higher risk of sleep apnea.

The 4-Variable Screening Tool (4-V) For Sleep Apnea

The 4-Variable Screening Tools for sleep apnea uses Body Mass Index(BMI), gender, self-reported snoring, and blood pressure level. The 4-Variable Screening Tool test is used as an equation i.e. OSA =(gender * 40) + (BMI Category Value) + (BP Category Value)+(Snoring* 4). It is worth noting that the performance of this tool did not show a significant difference compared to other, more complex tools.

What Is the Next Step After My Free Sleep Assessment Questionnaire
is Completed?

After you complete the assessment, your score will be classified as either high risk or low risk. People considered at high risk should immediately be tested for sleep disorders. Left untreated,obstructive sleep apnea (OSA) can lead to both short-term and long-term complications including sluggishness, daily headaches, aninability to focus or concentrate and neurological, cardiovascular, and endocrine comorbidities. If determined to be at high risk, the next step is to purchase the Complete Care package and schedule your first telehealth consult with a healthcare practitioner to determine whether you qualify for a home sleep apnea test.

How Do You Test for Sleep Apnea at Home?

With Sleep Care online’s Complete Care package, you will complete a Health & Sleep Assessment and then will receive a WatchPAT ONE E disposable sleep apnea test in the mail. This device consists of wo parts: the wrist device should go around your wrist and the probe placed on a finger all before going to bed. The next morning, your data is ready and you can schedule an additional telehealth visit with a sleep expert to review your study results and discuss treatment plans.