Snoring and Sleep Apnea Questionnaire for snoring and sleep apnea Are you aware of the connection between heavy snoring and the dangerous medical condition known as Obstructive Sleep Apnea? Take this test and see if you are affected. 1. I have been told that I gasp, snort or stop breathing at night. YES NO 2. My neck size is 17 in. or more for men or 16 in. or more for women. YES NO 3. I have nightime reflux. (A bad taste in my mouth during the night caused by mild regurgitation while sleeping.) YES NO 4. I can fall asleep easily during the day even after six or more hours of sleep. YES NO 5. I have been told that I snore loudly. YES NO 6. I have high blood pressure. YES NO 7. I have been told I snore less while sleeping on my side. YES NO 8. I have excessive daytime sleepiness and/or daytime fatigue although I feel I sleep long enough at night. YES NO 9. I have been awaken with a gasping or choking sensation. YES NO 10. I have been depressed and have been told that my personality has changed. YES NO 11. I am overweight. YES NO 12. I wake up with morning headaches although I do not feel that I grind my teeth at night. YES NO If you answered "YES" to questions #1, 3, 4, 8, or 9, this is a high indicator for sleep apnea. If you answered "YES" to three or more of questions #2, 5, 6, 10, 11 and 12, this indicates a possibility of sleep apnea. If you answered "YES" to question #7, positional sleep therapy can be helpful. The Silent Nightshirt™can teach you to sleep on your side in 3-4 weeks. © 1997 Snoring & Apnea Solutions, Inc. ~ http://www.silent-night.com ~ Martin A. Denbar, D.D.S.