Sleep Questionnaire

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The Epworth Sleepiness Scale helps you determine if you possibly suffer from a sleep disorder and its severity. This scale was developed in 1991 by Dr. Murray Johns right here in Melbourne.

Our sleep questionnaire assesses your sleepiness along with some common risks and symptoms to determine your likelihood of a sleep related issue. Complete the questionnaire now and find out if you require a diagnostic sleep study.

How likely are you to doze off or fall asleep:
Sitting and Reading?*

How likely are you to doze off or fall asleep:
Watching TV?*

How likely are you to doze off or fall asleep:
Sitting, inactive in a public place? (e.g. a theatre or a meeting)*

How likely are you to doze off or fall asleep:
As a passenger in a car for an hour without a break?*

How likely are you to doze off or fall asleep:
Lying down to rest in the afternoon when circumstances permit?*

How likely are you to doze off or fall asleep:
Sitting and talking to someone?*

How likely are you to doze off or fall asleep:
Sitting quietly after a lunch without alcohol?*

How likely are you to doze off or fall asleep:
In a car, while stopped for a few minutes in the traffic?*

Is your waist circumference greater than
102cm (male) or 88cm (female) at the belly button?*

Has your snoring ever bothered other people?*

Has anyone noticed that you stop breathing during your sleep?*

Are you aged 50 or over?*

Analyze your score

Epworth
Sleepiness Scale
0/24

OSA-50 Sleep Apnea
Risk Screening
0/10

Continue

Thank you for taking the time to complete the online sleep assessment.

Studies have shown that the quality of your sleep can significantly affect our health and our quality of life.

So, if you are concerned about your sleep always be sure to speak with your GP.

If you provide your email address the results of this online sleep assessment will be sent to you directly to discuss with your doctor.

*Please note: To be eligible for the Medicare rebate for a sleep study either home based or in-lab the clinical need for a sleep study requires to be determined by approved sleep assessment tools which can only be administered by a medical practitioner. A referral from a medical practitioner will also be needed.

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