Sleep Apnea Test SLEEP APNEA CHANCES Select your chance of dozing while doing each of the following activities: Sitting and Reading None Slight Moderate High Watching Television None Slight Moderate High Sitting inactive in a public place (e.g., a theater or a meeting) None Slight Moderate High As a passenger in a car for an hour without a break None Slight Moderate High SLEEP APNEA CHANCES CONTINUED Select your chance of dozing while doing each of the following activities: Lying down to rest in the afternoon when circumstances permit None Slight Moderate High Sitting and talking to someone None Slight Moderate High In a car, while stopped for a few minutes in traffic None Slight Moderate High Sitting quietly after a lunch without alcohol None Slight Moderate High YES / NO QUESTIONS Answer these yes / no questions: Yes NoDo you snore loudly?(louder than talking or loud enough to beheard through closed doors) Yes NoDo you often feel tired, fatigued, or sleepy during daytime? Yes NoHas anyone observed you stop breathing during your sleep? Yes NoDo you have or are you being treated for high bloodpressure? YES / NO QUESTIONS CONTINUED Answer these yes / no questions: Yes NoIs your Body Mass Index greater than 28? Yes NoAre you over 50 years old? Yes NoAre you a man with a neck circumference greater than 17 inches? Or a woman with a neck circumference greater 16 inches? YOUR SLEEP APNEA SCORE Your Sleep Apnea Score is: If your score is above a 20, we recommend you schedule an appointment to talk to Dr. James Luderitz. Please contact us at 406-248-7172 or fill out the form and we will contact you to set up an appointment. First Name Last Name Phone Email Send Your request has been sent -- we will be in contact with you shortly. There was an error! Please phone our office. Previous Next
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