STOP Bang Questionnaire

Take this quiz to determine if you have sleep apnea.

Name Email Phone Number

Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?

Yes

No

Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling asleep during driving or talking to someone)?

Yes

No

Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep?

Yes

No

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

Yes

No

Body Mass Index (BMI) more than 35 kg/m2?

Yes

No

Age older than 50?

Yes

No

Neck size large ? (Measured around Adams apple) For male, is your shirt collar 17 inches / 43cm or larger? For female, is your shirt collar 16 inches / 41cm or larger?

Yes

No

Gender = Male?

Yes

No

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