Berlin Questionnaire

If the final result has 2 or more positive categories, it indicates a high probability of sleep apnea.

Page 1 of 10

Do you snore? Yes No

Page 2 of 10

Your snoring is? Yes No

Page 3 of 10

How often do you snore? Yes No

Page 4 of 10

Has your snoring ever bothered other people? Yes No

Page 5 of 10

Has anyone noticed that you quit breathing during your sleep? Yes No

Page 6 of 10

How often do you feel tired or fatigued after your sleep? Yes No

Page 7 of 10

During your waketime, do you feel tired, fatigued or not up to par? Yes No

Page 8 of 10

Have you ever nodded off or fallen asleep while driving a vehicle? Yes No

Page 9 of 10

Do you have high blood pressure? Yes No

Page 10 of 10

BMI > 30 (See Chart) Yes No

If the test result is greater than 30, you need a consultation with our specialists. Book your appointment here.

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