Do I Have Sleep Apnea Test

This questionnaire tells us how likely you are to doze off or fall asleep in the following situations, in contrast to just feeling tired. Your answers refer to your usual way of life in recent times. Even if you have not experienced some of these things recently, estimate how they would affect you.

First Name *

Last Name

E-mail *

Phone

Please check the following conditions that apply to you as you have witnessed or been told by a witness: *

How likely are you to fall asleep in the following situations?

Please mark one response in each row:

Your Result

Your results will be emailed to you after you submit the form.

Analyze Interpretation:

0-7: It is unlikely that you are abnormally sleepy.

8-9: You have an average amount of daytime sleepiness.

10-15: You may be excessively sleepy depending on the situation. You should discuss your responses with your doctor.

16-24: You are excessively sleepy and should consider seeking medical attention.

Michigan Head & Neck Institute

Learn more about Sleep Apnea →

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