Risk Assessment

NOT SLEEPING WELL? 

Take this quick survey to identify potential risks for sleep apnea to determine your need for further evaluation.  

STOP-BANG Questionnaire: 

1. Do you Snore loudly?   

2. Do you often feel tired, fatigued, or sleepy during the daytime?

3.  Has anyone observed you stop breathing during sleep? 

4.  Do you have or are you being treated for high blood pressure? 

5.  Body max index (BMI) more than 35? 

6.  Age over 50 years old? 

7.  Neck circumference greater than 40cm?

8.  Gender male? 

** If you answered "YES" to 3 or more of the 8 questions above, that indicates you are at high risk of Obstructive Sleep Apnea. 

HOW SLEEPY ARE YOU? 

The Epworth Sleepiness Scale (ESS) is widely used in the field of sleep medicine as a subjective measure of a patient's sleepiness.  The test is a list of eight situations in which you rate your tendency to become sleepy on a scale of 0, no chance of dozing to 3, high chance of dozing.  When you finish the test, add up the values of your responses.  Your total score is based on a scale of 0 to 24.  The scale estimates whether you are experiencing excessive sleepiness that possibly requires medical attention. 

• 0  = No chance of dozing
• 1   = Slight chance of dozing 
• 2  = Moderate chance of dozing 
• 3  = High chance of dozing 

Epworth Sleepiness Scale: 

SITUATION:                                                                                                       Chance of Dozing:                                                                           

• Sitting and reading                                                                                              0    1    2    3   
• Watching TV                                                                                                        0    1    2    3 
• Sitting inactive in a public place                                                                        0    1    2    3 
• As a passenger in a car for an hour without a break                                      0    1    2    3 
• Lying down to rest in the afternoon, if circumstances permit                      0    1    2    3 
• Sitting and talking to someone                                                                         0    1    2    3 
• Sitting quietly after lunch, without alcohol                                                     0    1    2    3 
• In a car, while stopped for a few minutes in traffic                                       0    1    2    3 

                                                                                                         TOTAL SCORE:____________

ANALYZE YOUR SCORE

INTERPRETATION:

• 0-7 - unlikely that you are abnormally sleepy. 
• 8-9 - you may have an average amount of daytime sleepiness. 
• 10-15 - you may be excessively sleepy depending on the situation.  You may want to consider seeking medical attention. 
• 16-24 You are excessively sleepy and should consider seeking medical attention.