Stop Bang Sleep Test Questionnaire

 
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Stop Bang Sleep Test Questionnaire

Please answer all quesions YES NO
Snoring: Do you snore loudly (louder than talking or loud enough to be heard through closed doors)?  
Tired: Do you often feel tired, fatigued or sleepy during daytime?
Observed: Has anyone observe you stopping breathing during your sleep?
Blood pressure: Do you have or are you being treated for high blood pressure?
BMI: Is your BMI more than 35kg/m2?
Age: Are you over 50 years old?
Neck Cimrcumferce: Is your neck circumference greater than 40cm/15¾"?
Gender: Are you male?

    is your score. Below 3 = low risk. 3 and above = high risk.

 

Stop Bang Sleep Test Questionnaire: Copyright @ 2012 | www.stopbang.ca | All Rights Reserved Frances Chung MBBS FRCPC

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