Sleep Apnea Test

STOP - Bang Questionnaire

Sleep Apnea Test

This STOP - Bang Questionnaire is an Obstructive Sleep Apnea Risk Assessment Form. It is a user-friendly tool designed to evaluate your potential risk of Obstructive Sleep Apnea, a common yet serious sleep disorder. The form comprises a series of questions which focus on the most common symptoms and risk factors associated with sleep apnea.

Upon completion, your responses will be evaluated, and the results will provide you with an indication of your potential risk level for sleep apnea. Please remember that this tool is meant for informational purposes and is not a substitute for professional medical advice. If you have any health concerns, consult with a healthcare provider.

Before proceeding to the STOP-Bang questionnaire, we kindly ask you to provide some basic contact information (phone number is optional). Your data will be treated with the utmost respect and confidentiality, in accordance with our privacy policy. Please remember to provide accurate and current contact information so we can ensure a smooth process.

Thank you for your cooperation. We appreciate your commitment to understanding and improving your health.

1 / 8

Snoring?

Do you snore loudly (loud enough to be heard through closed doors or your bed partner elbow you for snoring at night?

YES

2 / 8

Tired?

Do you often feel tired, fatigued, or sleepy during the daytime (such as falling asleep during driving or talking to someone)?

YES

3 / 8

Observed?

Has anyone observed you stop breathing or choking/gasping during your sleep?

YES

4 / 8

Pressure?

Do you have or are being treated for High Blood Pressure?

YES

5 / 8

Body Mass

Body mass index more than 35 kg/m²?

YES

6 / 8

Age

Are you older than 50 year old?

YES

7 / 8

Neck Size

For male, is your shirt collar 17 inches/43 cm or larger?

For female, is your shirt collar 16 inches/41 cm or larger?

YES

8 / 8

Gender

Are you a male?

YES

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