Important Considerations for Sleep Apnea

Check all that apply. Use this brief questionnaire and checklist to determine if you might be at risk for sleep apnea.


1

I am a male.

2

I am overweight.

3

I am older than 50 years of age.

4

I have been told I snore in my sleep.

5

I am tired and sleepy throughout the day.

6

I have been told I’ve stopped breathing while I’m asleep.

7

I have high blood pressure.

8

I have a larger than average neck width.

Low Risk

I have 0-1 of these risk factors.

Possible Risk

I have 2-3 of these risk factors.

High Risk

I have 4+ of these risk factors.

Please Call (419) 540-4329 To Schedule Your Sleep Consultation.