Online sleep test

Part 1: How likely are you to doze off?

Part 1 is consists of 8 quick questions. It follows the Epworth format, and asks how likely you are to doze off or fall asleep during the following situations. This is in contrast to just feeling tired.

When sitting and reading?

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

When watching television?

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

When sitting inactive in a public place (e.g. a theatre/meeting)

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

As a passenger in a car for an hour with no break?

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

When lying down in the afternoon? (when possible)

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

When sitting and talking to someone?

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

When sitting quietly after lunch without alcohol?

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

In a car, while stopped for a few minutes in traffic?

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

You have reached the end of Part 1, please continue to Part 2 to answer a few more questions.

Part 2: OSA Questionnaire

Part 2 consists of 8 questions. The following questions were pioneered by the University Health Network and follow the STOP-BANG format.

On average, how many hours of sleep do you get?

Less than 3 Hours

3 - 6 Hours

6 - 8 Hours

Over 8 Hours

Do you often snore loudly?

loud enough to be heard through closed doors

Yes

Do you often feel Tired, Fatigued, or Sleepy during the daytime?

e.g. falling asleep while driving or talking to someone

Yes

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

Yes

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

Yes

Is your neck size large? (Measured around Adams apple)

For male, is your shirt collar 17 inches/ 43cm or larger?
For female, is your shirt collar 16 inches / 41cm or larger?

Yes

What is your gender?

On average, Males are more likely to have sleep apnoea.

Male

Female

Are you older than 50?

Yes

BMI Calculation

Height (cm)

Weight (Kg)

BMI

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Height division

You have reached the end of the screening test questions. Please fill in your details in Part 3 and we will process your results and email them within 5 minutes of submitting the screening test.

Part 3: Patient Details

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Post Title

We have developed a unique algorithm exclusive to CPAP Online which combines the two different methods of sleep apnoea screening.

We developed this algorithm to provide a more accurate result to find out if you are likely or unlikely to have sleep apnoea.

First Name

Last Name

You will receive your results via email within 5 mins once our algorithm processes your test.

Phone Number

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Have you ordered a home sleep study?

Please select "Yes" here if you have purchased a Home Sleep Study from our store. We need a completed screening test to go along with the sleep study data to form a conclusive diagnosis.

Otherwise choose "No" and ignore this option.

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What is your order number?

Screening Test Reference Code

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Epworth Result

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Epworth Calculated Result

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Epworth Risk Factor

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STOP Result

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BANG Result

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STOPBANG Result

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STOPBANG Risk Factor

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Pharmacy Sleep Clinics Screening Test Result

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Post Category

Take our FREE online sleep test below

Sleep Quiz

Part 1: How likely are you to doze off?

Part 2: OSA Questionnaire

BMI Calculation

Part 3: Patient Details

Pharmacy

Company

Support