STOP-BANG

The STOP BANG Test

The STOP BANG test is an acronym for some of the common contributing factors to airway obstruction during sleeping.

Snoring - Ask your house mates if you snore, you may be surprised at how much!
Tired - feel tired in the morning after what should normally be a reasonable length of sleep.
Observed - you have been observed to have stopped breathing during sleep.
Pressure - High blood pressure.

BMI
Age
Neck size
Gender

How to complete this Questionnaire:

Please answer the questions below to the best of your ability, to help us & you determine if you might be at risk of obstructive sleep apnoea (OSA).

STOP

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

Yes

None

Do you often feel Tired, fatigued, or sleepy during daytime?

Yes

None

Has anyone Observed you stop breathing during your sleep?

Yes

None

Do you have or are you being treated for high blood Pressure?

Yes

None

BANG

Is your Body Mass Index(BMI)1 more than 35kg/m2 ?

Yes

None

Is your Age over 50 years?

Yes

None

Is your Neck circumference large? (measured around the adam’s apple)
- For Males – Shirt collar 43cm or larger oFor Females
– Shirt collar 41cm of larger

Yes

None

Is your Gender Male?

Yes

None

First Name

Surname

DOB

Phone number

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