Sleep Study
Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?
(Required)
Yes
No
Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling asleep during driving or talking to someone)?
(Required)
Yes
No
Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep ?
(Required)
Yes
No
Do you have or are being treated for High Blood Pressure ?
(Required)
Yes
No
Body Mass Index more than 35 kg/m2?
(Required)
Yes
No
If you are unsure of Body Mass Index, use the below to calculate.
Body Mass Index Calculator
cm / kg
inches / lb
feet
inches
Weight:
Height (CM):
Weight (KG):
BMI
BMI
Is your shirt collar 16 inches / 40cm or larger? (Measured around Adams apple)
(Required)
Yes
No
Age older than 50 ?
(Required)
Yes
No
Gender = Male ?
(Required)
Yes
No