< Center for Sleep Medicine

STOP-BANG Questionnaire
A Tool to Screen Patients for Obstructive Sleep Apnea

S:  Have you been told that you SNORE?                                                                          Yes       No

T: Do you often feel TIRED, fatigued or sleepy during daytime?                                  Yes       No

O:  Has anyone OBSERVED you holding your breath while asleep?                              Yes      No
P: Do you have or are you being treated for high blood PRESSURE?                           Yes     No




B:  Is your BODY MASS INDEX greater than 28?                                                             Yes      No

A:   AGE over 50 years old?                                                                                                    Yes      No

N: NECK circumference greater than 16 inches?                                                                Yes     No

G:  Are you a MALE?                                                                                                               Yes    No

If you answered Yes to 3 or MORE questions, you are at HIGH RISK for OSA.
To schedule an appointment call 512-218-1222

REFERENCE
Chung, F., Yegneswaran, B., Liao, P., Chung, S. A., Vairavanathan, S., Islam, S., Khajehdehi, A., and Shapiro, C. M. STOP Questionnaire A Tool to Screen Obstructive Sleep Apnea. Anesthesiology 108, 812-821. 2008.