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Self Assessment

Sleep Apnea Self Screening Questionnaire

Shelby Baptist Medical Center - Sleep Disorders Center 
1022 1st Street N. Suite 501
Alabaster, AL 35007
(205) 621-3737
  1. Do you snore? 
  2. Do you awaken at night gasping for air or with a feeling  of shortness of breath or choking? 
  3. Does your partner ever tell you that you stop breathing during sleep?
  4. Does your partner tell you that you gasp, choke or snort  while sleeping? 
  5. Do you often have trouble breathing through your nose or awaken with a dry mouth?
  6. Do you frequently awaken with a headache in the morning? 
  7. Do you awake feeling as tired as you did when you went to bed? 
  8. Do you fight sleepiness at inopportune times during the day?
  9. Have you fallen asleep while driving?
  10. Do you have trouble with memory or concentration problems during the day? 
  11. Do you often fall asleep before or after dinner?
  12. Do your friends and family make fun of or comment on your sleepiness?
  13. Are you overweight? 

If you answered "yes" to the majority of these questions, you may have sleep apnea. Untreated sleep apnea can be associated with increased risk for heart attacks and strokes. Talk to your doctor about your risk factors and treatment.

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