Sleep Apnea Risk Assessment
The Berlin Questionnaire · Takes about 3 minutes
Step 1 of 5
Your Profile
A bit about you
Height and weight help calculate your BMI, which is part of the screening criteria.
Snoring & Breathing
About your sleep at night
Answer as accurately as possible — ask a partner if you're not sure.
Do you snore? *
Has anyone noticed that you stop breathing during sleep? *
Energy & Alertness
How do you feel day to day?
Think about the past few months when answering.
How often do you feel tired or fatigued after sleeping? *
During your waking hours, do you feel tired, fatigued, or not up to par? *
Have you ever nodded off or fallen asleep while driving a vehicle? *
Health History
One more question
This helps complete the Berlin scoring criteria.
Do you have high blood pressure (or are you being treated for it)? *
Contact Info
Almost done — where should we send your results?
Your information is private and used only to follow up on your results.