The Ruhrland-Hospital in Essen-Heidhausen (Germany), Department of Sleep Medicine, compiled the following questionnaire for the diagnosis of Sleep Apnea. Complete all sections fully.
By adding up your score, you can determine whether it is likely that you suffer from Sleep Apnea and whether therefore you should consult your doctor who may refer you to a sleep laboratory for a sleep study.
Score your answer to each question as follows: 0 = Never, 1 = Rarely, 2 = Often, 3 = Frequently
Never – Rarely – Often – Frequently