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Sleep Apnea Self-Assessment - STOP-BANG Questionnaire

The following questionnaire will help you measure your general level of daytime sleepiness. You are to rate the chance that you would doze off or fall asleep during different routine daytime situations. Each item is rated from "No Chance"to "High Chance", meaning the chance that you would doze or fall asleep in that situation.

How likely are you dozing off or falling asleep in the following situations in contrast to just feeling tired?

Snoring?

Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?

YES
NO
Tired?

Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling asleep during driving or talking to someone)?

YES
NO

Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep?

YES
NO

Do you have or are being treated for High Blood Pressure?

YES
NO

Body Mass Index more than 35 kg/m2?

YES
NO

Neck size large? (Measured around Adams apple)
For male, is your shirt collar 17 inches/43 cm or larger?
For female, is your shirt collar 16 inches/41 cm or larger?

YES
NO
  
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By clicking on "Score" You allow us to calculate the scoring and provide known interpretation of the score based on the literature.
You also allow us to contact You with additional information to help You keeping a good health. The information You provide us will never shared with any 3rd party or used for inappropriate manner.
Note: This scale should not be used to make your own diagnosis. It is intended as a tool to help you identify the level of daytime sleepiness, which is symptom of many sleep disorders. This page is for information purpose only and is not intended to replace the advice of a qualified health professional. Please contact CPAP Clinic or call 1-877-430-CPAP(2727) with any question.
It is important to remember than true excessive daytime sleepiness is almost always caused by an underlying medical condition that can be easily diagnosed and effectively treated.
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Our services: Focusing on patients care we offer at-home sleep apnea screening, setups and mask fitting at-home during extended business hours. You can rent or have a trial of new technology to try and feel the difference.

Toll-free: 1-877-430-CPAP(2727)  |  Fax: 1-888-477-7739  |  Email:info@cpapclinic.ca

© ResMed 2009-2019. Images used under license.

Locations &
Store Hours

Mon-Fri:

9am-9pm

Saturday:

10am-3pm

* 6200 Dixie Rd., Unit #102 Mississauga, ON, L5T 2E1


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Mon-Fri:

9am-7pm

Saturday:

10am-3pm

Sunday:

CLOSED

* 1110 Sheppard Ave East, Unit #13 Toronto, ON, M2K 2W2

* 644 Millway Ave, Unit #4 Vaughan, ON, L4K 4H4

* 115 Bell Farm Rd., Unit #107 Barrie, ON, L4M 5G1

Online: 24/7 - Order Anytime

CPAP Clinic in Toronto
CPAP Clinic is OHIP authorized vendor

Don't Ignore the Snoring...

Stop snoring and Sleep Assessment

Do You Snore? Are you always tired? ... it's time to assess your Sleep Apnea.

 
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CPAP Disinfection

Killing 99.9% disinfector which is capable to kill various bacteria and viruses inside the CPAP machine.

Cleaning and Disinfecting CPAP machines

UV Light Sanitizing Device


Cleaning and Disinfecting CPAP machines

Ozone Disenfecting Device

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