2095 Village Center Cir #110-B, Las Vegas, NV 89134
(702) 602-2000 Take Our Sleep Quiz

Take Our Sleep Quiz

STOP-BANG Questionnaire

How do you know if you’re suffering from sleep apnea? Our questionnaire below can be a big step forward in answering this question. The process is simple – just choose “yes” or “no” for all the inquiries below; ask your spouse for input as well if applicable, as they may have noticed certain signs of your condition as well. Once you’ve completed this form and submitted it, our team can provide you with more insight on whether or not additional attention is needed.

Yes
No

Snoring

Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?

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 35 kg/m2?

Not sure what your BMI is? Click here

Yes
No

Age older than 50?

Yes
No

Neck size large? (Measured around Adams apple)

For male, is your shirt collar 17 inches / 43 cm or larger? For female, is your shirt collar 16 inches / 41 cm or larger?

Yes
No

Gender = Male?

Property of University Health Network.

If you would like our interpretation of your STOP-BANG Questionnaire, please send us the information below. Dr. Summerlin will be in touch within 24 hours to discuss your results.

2095 Village Center Cir., #110-B, Las Vegas, NV 89134 USA
Dr. Pamela West Las Vegas, NV dentist providing sleep apnea therapy. (702) 602-2000 julie@isleepsolutions.com