This questionnaire utilizes portions of the Berlin questionnaire, Epworth Sleepiness Scale (ESS), and STOP-BANG questionnaire, which are widely recognized by the AASM as a diagnostic tool for obstructive sleep apnea syndrome (OSAS)
Question 1 of 8
Do you snore or have been told by someone that you snore?
Question 2 of 8
Has anyone ever noticed that you stopped breathing during your sleep?
Question 3 of 8
Do you ever awaken with the sensation of gasping or choking?
Question 4 of 8
Do you often wake up with a dry mouth?
Question 5 of 8
Do you ever find your sleep to be non-refreshing?
Question 6 of 8
While you’re awake, do you ever feel tired, fatigued, or not up to par?
Question 7 of 8
Do you fall asleep in any situations where you did NOT intend to?
Question 8 of 8
Do you have (or are being treated for) high blood pressure or diabetes?
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