Sleep Disorder Tests  Sleep Disorder Tests - GBMC Sleep Center
Sleep Questionnaire  Use this brief survey to assess your risk
for sleep apnea. The total score of all give sections denotes
your "Apnea Risk Score."  1.  Do you have a history of snoring?
a. No (0) b. Mild / infrequent (0) c. Moderate / inconsistent
(2) d. Severe / consistent (8)  2.  Have you ever been told that
you have "pauses" in breathing during sleep?  a. No (0) b. Yes,
but infrequent (2) c. Yes, inconsistent but most nights (8) d.
Yes, severely so (10)  3.  Are you overweight?  a. No (0) b.
Yes, but by less than 20 lbs (2) c. Yes, by 20 - 50 lbs (3) d.
Yes, more than 50 lbs (8)  4.  Evaluate your levels of
sleepiness  a. Would never doze (0) b. Have a slight chance of
dozing (1) c. Have a moderate chance of dozing (6) d. Have a
high chance of dozing (8)  5.  Does your medical history
include?  a. High blood pressure (6) b. Stroke (1) c. Heart
Disease (1) d. Morning Headaches (1) e. 3+ awakenings per night
(4) f. Excessive fatigue (1) g.