Mountain States Health Alliance Sleep Center
About Us
Sleep Study

Preparing for
a Sleep Study

Our Providers
Sleep Disorders

Contact Us

Sleep Apnea Risk Assessment Questionnaire



Snoring: Do you snore loudly (louder than talking or loud enough to be heard through closed doors)?


Tired: Do you often feel tired or fatigued during the day?


Observed: Has anyone observed you stop breathing during your sleep?


Blood Pressure: Do you have or are you being treated for high blood pressure?


Body Mass Index (BMI): BMI greater than 35 kg/m^2


Age: Over 50 years old?


Neck Circumference: Neck Circumference greater than 17 inches?


Gender: Are you male?


High Risk of OSA:

Moderate Risk of OSA:

Low Risk of OSA

Using CPAP: