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 the formula to calculate your BMI)?
Yes No
BMI Formula: (your weight in pounds X 703)
BMI =
(your height in inches X your height in inches)
6. Age over 50 yr old?
Yes No
7. Neck circumference greater than 40 cm?
Yes No
8. Gender male?
Yes No
Scoring: Answering "yes" to three of more of the 8 questions indicates that the patient is High Risk for OSA. Answering “yes” to less than three questions indicates that the patient is at Low Risk for OSA. If the patient scored in the High Risk for OSA category, a sleep study or an evaluation by a sleep specialist may be warranted.
