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Snoring and OSA Customer Discovery Survey
This survey was designed to study snoring and obstructive sleep apnea (OSA) and the challenges facing the current available therapies for treatment.
If you snore or might have OSA, we would greatly appreciate your input.
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Snoring and OSA can be frustrating, and also it can be detrimental to your overall health and well being.
The following STOP-BANG questionnaire screens for obstructive sleep apnea (OSA) only, not central sleep apnea and is useful screening tool of OSA.
1. Do you snore loudly?
(Louder than talking or loud enough to be heard through closed doors)
*
YES
NO
2. D
o
you often feel tired, fatigued, or sleepy during the daytime?
*
YES
NO
3. Has anyone observed you stop breathing during sleep?
*
YES
NO
4. Do you have (or are you being treated for) high blood pressure?
*
YES
NO
5. Is your body mass index (BMI) greater than 35 kg/m2?
A body mass index calculator can be found here,
https://www.cdc.gov/bmi/adult-calculator/index.html
*
YES
NO
6. Is your age older than 50?
*
YES
NO
7. Is you neck circumference greater than 40cm (15.75")?
*
YES
NO
8. Are you male?
*
YES
NO
9. Tally up your answers. For questions 1-8, add up the number of times you answered YES.
*
If you answered yes to 0-2 of these questions you have a low risk of OSA.
If you answered yes to 3-4 of these questions you have an intermediate risk of OSA.
If you answered yes to 5-8 of these questions you have a high risk of OSA.
10. Has a personal wearable smart device such as an Apple watch, Fitbit, Samsung watch, etc. ever alerted or notified you that you may have OSA?
YES
NO
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