Sleep Apnoea Test Question Title * 1. Do you snore loudly (louder than talking or loud enough to be heard through closed doors)? Yes No Question Title * 2. Do you often feel tired, fatigued or sleepy during daytime? Yes No Question Title * 3. Has anyone observe you stopping breathing during your sleep? Yes No Question Title * 4. Do you have or are you being treated for high blood pressure? Yes No Question Title * 5. Is your body mass index (BMI) greater than 35? (if you do not know your BMI find out here www.nhs.uk/Tools/Pages/Healthyweightcalculator.aspx) Yes No Question Title * 6. Are you aged 50 years or over? Yes No Question Title * 7. Are you a male with a neck circumference greater than 15.5 inches, or a female with a neck circumference greater than 14.5 inches? Yes No Question Title * 8. Are you male? Yes No Question Title * 9. If you answered "Yes" to three or more of these questions you have a high risk of sleep apnoea. If you answered "Yes" to less than three questions you have a low risk of sleep apnoeaPlease indicate your level of risk High Low Done