Male Hormone Assessment

Self Assessment

STOP BANG – Obstructive sleep apnea (OSA) screening tool
The STOP BANG questionnaire is a proven tool that can be used to screen for obstructive sleep apnea (OSA). This tool will assess if you are low, moderate or high risk group for sleep apnea.

Do you snore? Loud enough to be heard through closed doors or loud enough to distrurb your partner(Required)
Do you often feel tired, fatigued or sleepy during the daytime?(Required)
Has anyone observed you stop breathing, choking or gasping while you were sleeping?(Required)
Are you being treated for high blood pressure?(Required)
What is your Body Mass Index (BMI)?(Required)
Are you older than 50?(Required)
Is your neck size larger than 43cm if male or 41cm if female? Hint: To obtain an accurate measurement, measure around your Adams apple OR answer Yes if your collar size is greater than XL.(Required)
Are you male?(Required)
Name(Required)

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