Sleep Apnea Screening Questionnaire

Do you snore?
Is your snoring interrupted by pauses or choking?
Has anyone ever said that you stop breathing or have pauses in your breathing during your sleep?
Do you feel fatigued, exhausted or tired?
Do you have High Blood Pressure or Diabetes?
Do you wake up during the night or in the morning with headaches?
Have you ever nodded off or fallen asleep while driving?
Do you have problems keeping your legs still at night or need to move them to feel comfortable?
Do you usually get less than 6 hours of sleep per night?
Do you have periods of the day when you have trouble paying attention, remembering things or staying awake?