SNORING?

Do you snore?

Yes

No

TIRED?

Do you often feel tired, fatigued, or sleepy during the daytime (such as falling asleep during driving or talking to someone)?

Yes

No

OBSERVED?

Has anyone observed you stop breathing or choking/gasping during your sleep?

Yes

No

PRESSURE?

Do you have or are being treated for High Blood Pressure?

Yes

No

BODY MASS INDEX MORE THAN 35kg/m2?

Do you have or are being treated for High Blood Pressure?

Yes

No

AGE OLDER THAN 50?

Yes

No

NECK SIZE LARGE? (MEASURED AROUND ADAMS APPLE)

Yes

No

GENDER = MALE?

Yes

No

1. Sitting and reading

0

1

2

3

2. Watching television

0

1

2

3

3. Sitting inactive in a public place (e.g. a theatre/meeting)

0

1

2

3

4. As a passenger in a car for an hour with no break

0

1

2

3

5. Lying down in the afternoon (when possible)

0

1

2

3

6. Sitting and talking to someone

0

1

2

3

7. Sitting quietly after lunch without alcohol

0

1

2

3

8. In a car, while stopped for a few minutes in traffic

0

1

2

3