STOP-BANG Questionnaire

A Tool to Screen Patients for Obstructive Sleep Apnea (OSA)

  1. Do you snore loudly(louder than talking or loud enough to be heard through closed doors)? ____Yes ____No
  2. Do you often feel tired, fatigued, or sleepy during daytime? ____Yes ____No
  3. Has anyone observed you stop breathing during your sleep? _____Yes ____No
  4. Do you have or are you being treated for high blood pressure? ____Yes ____No
  5. Body Mass Index (BMI) more than 35 (use formula to calculate your BMI)? ____Yes ____No

    BMI Formula

    BMI = (your weight in pounds multiplied by 703) divided by

    (your height in inches ;multiplied by your height in inches)

  6. Age over 50 years old? ____Yes ____No
  7. Neck circumference greater than 40 cm (15.75 inches)? ____Yes ____No
  8. Conversion: 1 inch = 2.54 cm
  9. Gendermale? ____Yes ____No

SCORING: Answering "yes" to three or more of the 8 questions indicates that you are High Risk for OSA. Answering "yes" to less than three questions indicates that you are Low Risk for OSA. If you scored in the High Risk for OSA category, a sleep study or an evaluation by a sleep specialist may be warranted. Remember that a diagnosis can only be made after undergoing a sleep study at an accredited sleep center.

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