SCREENING TEST

Fill out the  Questionnaire to see if Sleep Apnea is a potential issue for you

Logo - Liberty Sleep Apnea

Questionnaire

Please answer the following questions below to determine if you might be at risk.

SNORING


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

TIRED?


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

OBSERVED?


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

PRESSURE


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

BODY MASS INDEX


Please estimate by reviewing the picture below. Is your BMI more than 35?

BMI - Body Mass Index

AGE


Are you older than 50?

NECK SIZE


Please measure your neck around your Adams Apple

Female: is your neck 16 inches / 41cm or larger?
Male: is your neck 17 inches / 43cm or larger?

GENDER


Are you Male?