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(02) 4607 5010

SLEEP APNOEA QUESTIONNAIRE

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StopBang Questionnaire

1. Do you SNORE loudly? Loud enough to be heard through closed doors.
2. Do you often feel TIRED, fatigued, or sleepy during the day?
4. Do you have or are being treated for high blood PRESSURE?
5. BMI more than 35?
6. AGE over 50 years old?
7. NECK circumference >40cm = ______cm
8. GENDER

OSA 50 Questionnaire

Obesity: Waist circumference* Males >102cm Females>88cm
*Waist circumference measured at umbilical level
3pts
Snoring: Has your snoring bothered people?
3pts
Apnoea’s: Has anyone noticed that you stop breathing during your sleep?
2pts
50: Are you aged 50 years or over?
2pts

Epworth Sleepiness Scale

Use the following scale to choose the most appropriate number for each situation:

0= Would NEVER doze
1=SLIGHT chance of dozing
2=MODERATE chance of dozing
3=HIGH chance of dozing
Sitting and reading
Watching TV
Sitting, inactive in a public place (e.g., Theatre or meeting)
. As a passenger in a car for an hour without a break
Lying down resting in the afternoon when the circumstances permit
Siting and talking to someone
Sitting quietly after lunch
In a car, while stopped for a few minutes in the traffic
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Suite 2.12, 90 Podium Way, Oran Park New South Wales 2570, Australia
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Support Center

Call : (02) 4607 5010

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Fax : (02) 4607 5011

Email support

reception@swcpc.com.au

Company
Opening Hours
  • Mon to Fri 08:30-16:30
  • Saturday Closed
  • Sunday Closed
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Southwest Pulminary & Sleep Centre
4.8
Based on 4 reviews
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