Sleep Disorder Questionnaire

Many patients come to us because their partners or family members noticed heavy snoring or frequent episodes where they stopped breathing. Spouses often report pauses in breathing followed by a gasp for air.

Do you have a sleeping disorder?

But not everyone can discover their situation this way. Many people sleep alone, or with partners who sleep too deeply to notice a problem. If you suspect you have a nighttime breathing problem but aren’t sure, ask yourself these questions:

  • Do you snore on a regular basis, or wake others up in your household?
  • Do you awaken frequently at night gasping for air?
  • Are you excessively tired during the day?
  • Do you fall asleep at unusual times during your day?
  • Do you have morning headaches or frequent sore throats or dry mouth?


If you answered yes to any of these questions, you should consider getting a thorough sleep evaluation.

Contact us so we may guide you through the process.

Click here to download and print the Epworth Sleepiness Scale

Click here to download and print the STOP-BANG Screening Questionnaire for Sleep Apnea