Sleep Apnoea Questionnaire

Please fill in the following questionnaire to see if you or your partner suffer from a sleeping disorder.

After filling in this questionnaire, we will provide you with more information on Sleeping Disorders in our Sleep Brochure

  • Patient Information

  • Medical Conditions

    Do you have any conditions that your GP is aware of?
  • Sleep Disorder Questions

    Please tick yes or no. You may wish to confer with your bed partner for some of these questions
  • Family History

  • Personal Information

  • Neck circumference

  • (units per week)

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