* Required Information

Please add up the points from question that were answered "yes". If the point total is greater than 2, the patient is a good candidate for a diagnostic sleep study.

0 - 2 = Lower risk of having Obstructive Sleep Apnea
3 - 4 = Moderate risk of having Obstructive Sleep Apnea
5 - 12 = High risk of having Obstructive Sleep Apnea

This questionnaire utilizes portions of the Berlin questionnaire and the Epworth sleepiness scale (ESS), which are widely recognized by the AASM as diagnostic tools for obstructive sleep apnea syndrome (OSAS)