Thank you

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

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

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

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

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

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

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

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

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

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

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

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

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

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

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

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

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

Yes

No

Has your snoring ever bothered other people?*

Yes

No

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

Yes

No

Are you aged 50 or over?*

Yes

No

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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Sleep Questionnaire

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

Find out more about the right treatment for you

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Upload your patient’s sleep data

Download to refer your patient for a sleep study

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Thank you

Sleep Questionnaire

Analyze your score

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

Find out more about the right treatment for you