Sleep Centers of Middle Tennessee

Do I have Obstructive Sleep Apnea?

This “Test Yourself” questionnaire is designed to be an informative and useful screening tool. It should be noted that this questionnaire is not empirically validated, and should not be used as a substitute for formal tests used to help diagnose sleep disorders. As always, consult a board certified sleep doctor to determine whether you have a sleep disorder.


Please answer the following questions:

Have others told you that you snore?

  1. Never
  2. Occasionally
  3. Sometimes
  4. Frequently

Has anyone ever told you that you stop breathing, have pauses in breathing, or gasp during sleep?

  1. Never
  2. Occasionally
  3. Sometimes
  4. Frequently

Do you ever wake up at night with choking or gasping sensations, shortness of breath, or an elevated heart rate?

  1. Never
  2. Occasionally
  3. Sometimes
  4. Frequently

Is your sleep fitful or disturbed, or do you toss and turn frequently during sleep?

  1. Never
  2. Occasionally
  3. Sometimes
  4. Frequently

Do you feel tired, fatigued, or sleepy during the day?

  1. Never
  2. Occasionally
  3. Sometimes
  4. Frequently