Mountain States Health Alliance Sleep Center
Facts
About Us
Sleep Study
Video

Preparing for
a Sleep Study

Our Providers
Pediatric
Sleep Disorders

 Take the
Sleep Quiz
Contact Us
Locations

Sleep Apnea Risk Assessment Questionnaire

 
 
 

Gender


S (snore): Have you been told that you snore?


 

T (tired): Are you often tired during the day?


 

O (obstruction): Do you know if you stop breathing or has anyone witnessed you stop breathing while you are asleep?


 

P (pressure): Do you have high blood pressure or are you on medication to control high blood pressure?


 

B (BMI): Is your body mass index greater than 28?



 

A (age): Are you 50 years old or older?


 

N (neck): Are you a male with a neck circumference greater than 17 inches, or a female with a neck circumference greater than 16 inches?


 

G (gender): Aare you a male?

 

High Risk of OSA:

Moderate Risk of OSA:

Low Risk of OSA

Using CPAP: