Sleep Apnea Questionnaire

Simply complete the form below and someone from our dental team will contact you soon.

S: Do you snore loudly (louder than talking or loud enough to be heard through closed doors)?
Yes No
T: Do you often feel tired, fatigued or sleepy during the day?
Yes No
O: Has anyone observed you not breathing during sleep?
Yes No
P: Do you have or have you been treated for high blood pressure?
Yes No
You have a high risk of sleep apnea if you answered “yes” to two or more of these questions.
B: Is your Body Mass Index more than 35 kg/m2?
Yes No
A: Is your age more than 50 years old?
Yes No
N: Is your neck circumference greater than 40 cm?
Yes No
G: Is your gender male?
Yes No
You have a high risk of sleep apnea if you answered “Yes” to three or more of the eight STOP-Bang questions.
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