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Information - SnoringCure.ca

Information - SnoringCure.ca

Self-check questionnaire for Snorers

The Ruhrland-Hospital in Essen -Heidhausen (Germany), Dep. of sleep medicine, compiled the following questionnaire for the diagnosis of Sleep Apnoea. Complete all sections fully. By adding up your score, you can determine whether it is likely that you suffer from sleep apnoea and whether therefore you should consult your doctor who may refer you to a sleep laboratory for sleep study. Score your answer to each question as follows: 0 = never, 1 = rarely, 2 = often, 3 = very often. Enter the figures into the boxes below.

Questions

0

never

1

rarely

2

often

3

v.often

1. Are you sleepy during the day? ? ? ? ?
2. Do you doze off during the day spontaneously? ? ? ? ?
3. Do you find it difficult to concentrate for long periods? ? ? ? ?
4. Do you feel less efficient than you used to? ? ? ? ?
5. Do you snore loudly or do others say you do? ? ? ? ?
6. Has you partner witnessed you stopping breathing during your sleep? ? ? ? ?
7. Do you wake up in the morning with headache? ? ? ? ?
8. Do you feel tired and dizzy in the morning? ? ? ? ?

9. Do you fall asleep in the following situations, when:

  • watching TV?
  • reading?
  • working at the office?
  • driving car?
  • talking to others?
? ? ? ?
10. Do you have difficulties getting off to sleep at night? ? ? ? ?
11. Do you wake up during the night? ? ? ? ?
12. or is it taking you longer to get back to sleep than used to be the case? ? ? ? ?
13.Do you sleep jerkily and/or is your bed disordered in the morning? ? ? ? ?

The publication of this questionnaire was gratefully authorised by the Federal Sleep Apnoea Association of Germany e.V., Deipenbecktal 171, 45289 Essen. Phone: 0201 /570657, Fax 0201 /572798 The likelihood with which sleep apnoea may be present, depends upon the total score as follows:

  •   0 -14: unlikely, everything appears to be o.k.
  • 15 -25: rather probable
  •    > 25: very probable

You may want to consult specialist if you have sever snoring that has just started recently and you haven't gained any weight.

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