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Score Your Snore – Sleep Assessment

This quiz assesses your risk for sleep apnea based on your experience with common symptoms.

Quiz Directions:

  • Answer all seven questions.
  • For each question, assign one point if you answer “yes” and zero points if you answer “no.”
  • Add your points up to get your score.

 


 

  1.  Do you snore?
    □ Yes
    □ No
  2. Is your bed partner unable to sleep because your snoring is too loud?
    □ Yes
    □ No
  3. Has anyone observed you choke, snort, or stop breathing during your sleep?
    □ Yes
    □ No
  4. Do you sometimes wake up coughing or gasping for air?
    □ Yes
    □ No
  5. Do you often feel tired, fatigued, or sleepy throughout the day?
    □ Yes
    □ No
  6. Do you often wake up with a headache?
    □ Yes
    □ No
  7. Do you struggle with high blood pressure?
    □ Yes
    □ No

Your Results

If you scored a point value of three or more, you are at high to moderate risk for sleep apnea.
We recommend discussing your sleep-related concerns with your primary care provider (PCP) and asking for a referral to our Sleep Medicine team. Referrals can be faxed to (937) 578-2019. For more information, please contact our team at (937) 578-2735.

Our Sleep Medicine team would like to talk with you about your sleep-related concerns. If you want us to reach out about next steps, please provide the following information:

    If you scored a point value of two or less, you are at low risk for sleep apnea.
    We recommend taking this test again if your sleep-related symptoms change. Be sure to talk to your PCP about any sleep-related concerns, as other sleep disorders besides sleep apnea may be contributing.

    Need a PCP?