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Let’s start with a few questions.

Please answer as accurately as possible based on most recent events.
What is your gender given at birth?(Required)
1. Do you snore loudly (louder than talking or loud enough to be heard through closed doors)?(Required)
2. Do you often feel tired, fatigued, or sleepy during daytime?(Required)
3.Has anyone observed you stop breathing during your sleep?(Required)
4. Do you have or are you being treated for high blood pressure?(Required)
This field is for validation purposes and should be left unchanged.

Reference Information can be found here

Adapted from:

  • STOP Questionnaire
  • A Tool to Screen Patients for Obstructive Sleep Apnea
  • Frances Chung, F.R.C.P.C., Balaji Yegneswaran, M.B.B.S., Pu Liao, M.D., Sharon A. Chung, Ph.D., Santhira Vairavanathan, M.B.B.S., Sazzadul Islam, M.Sc., Ali Khajehdehi, M.D., Colin M. Shapiro, F.R.C.P.C.
  • Anesthesiology 2008; 108:812-21 Copyright 2008, The American Society of Anesthesiologists, Inc. Lippincott Williams & Wilkins, Inc.

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