2. Does your bedroom partner complain about your snoring?
Yes
No
3. Does your snoring wake you up at night?
Yes
No
4. Do you or your bedroom partner notice that you make gasping and choking noises during sleep?
Yes
No
5. Do you have a dry mouth, sore throat or headache in the morning?
Yes
No
6. Do you often fall asleep during the daytime when you want to stay awake?
Yes
No
7. Are you often tired during the day?
Yes
No
8. Do you have high blood pressure?
Yes
No
9. Do you feel tired or groggy when you wake up?
Yes
No
10. Do you ever fall asleep while sitting, reading, watching TV or driving?
Yes
No
11. Do you have trouble concentrating?
Yes
No
12. Have you become more forgetful?
Yes
No
13. Are you overweight?
Yes
No
14. Have you ever fallen asleep while driving?
Yes
No
15. Is your performance at work declining?
Yes
No
16. Have you lost interest in sex?
Yes
No
4 or more YES answers: you should really undergo a Sleep Study.
8 or more YES answers: you should undergo a Sleep Study SOON.
12 or more YES answers: undergo a Sleep Study TODAY.
