Sleep Apnea Risk Assessment

What is your sex?

What is your age?

What is your height?

What is your weight?

Your BMI:

Are you currently being treated for high blood pressure?

Do you snore loudly?

Loudly enough to be heard through closed doors, or so that your bed-partner elbows you for snoring at night.

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

Has anyone ever observed you stop breathing or start choking/gasping during your sleep?

Do you have a large neck size?
Collar size of 17" or more for men
Collar size of 16" or more for women

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