Evaluate Yor sleep - The University of Chiacgo Medical Center at 150 East Huron

Body Mass Index (BMI) Categories:

Underweight = BMI of <18.5 kg/m²
Normal weight = BMI of 18.5-24.9 kg/m²
Overweight = BMI of 25-29.9 kg/m²
Obesity = BMI of 30-34.9 kg/m² (Increased risk of sleep apnea)
Significant Obesity= BMI of 35 kg/m² or greater (Substantially increased risk of sleep apnea)

Your Height: (feet) (inches)

Your Weight: (pounds)

kg/m²

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently try to work out how they would have affected you. Use the following scale to choose the most appropriate number for each situation:

Scale

0 = No chance of dozing
1 = Slight chance of dozing
2 = Moderate chance of dozing
3 = High chance of dozing

Sitting and Reading
Watching TV
Sitting inactive in a public place (e.g. theater or a meeting)
As a passenger in a car for an hour without a break
Lying down to rest in the afternoon when the circumstances permit
Sitting and talking to someone
Sitting quietly after lunch without alcohol
In a car, while stopped for a few minutes in traffic
Total:

You have a high risk of having sleep apnea. You should consider seeing a sleep specialist.

You have a moderate risk of having sleep apnea

You have a low risk of having significant sleep apnea

Do you snore loudly (louder than talking or load enough to be heard through closed doors)?
Yes No

Do you often feel tired, fatigued, or sleepy during daytime?
Yes No

Has anyone observed you stop breathing during your sleep?
Yes No

Do you have or are you being treated for high blood pressure?
Yes No

Are you overweight or obese? (calculate your BMI)
Yes No

Evaluate Your Sleep

Body Mass Index (BMI) Categories:

Scale