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Sleep Apnea Assessment – Eugene, OR

Take the
STOP-BANG
Assessment

Two Better Sleep Eugene team members smiling

For many, figuring out if you have sleep apnea at all can be very difficult. More often than not, the most visible symptoms only occur when you’re unconscious. Thankfully, the STOP-BANG sleep apnea assessment is a very quick and simple way to let our team know if you might have the condition. Start by filling out the STOP-Bang sleep apnea assessment from our Eugene, OR sleep dentist, then submit your answers to our team. From there, we will evaluate them more closely and get in touch with you in the next 24 hours. If we think you are at risk of having sleep apnea, we’ll invite you to our sleep apnea dental office for a consultation.

Yes
No

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

Observed

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

Yes
No

Pressure

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

Yes
No

Body Mass Index more than 35 kg/m2?

Not sure what your BMI is? Click here

Yes
No

Age older than 50?

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

Gender = Male?


Is there history/existence of any of the following?

Yes
No

Heart disease

Yes
No

Stroke

Yes
No

Diabetes

Yes
No

Thyroid

Yes
No

Insomnia

Yes
No

Insomnia

Yes
No

COPD

Yes
No

Morning Headache

Yes
No

Restless Leg Syndrome

Yes
No

Night Time Urination

Yes
No

Sexual Disfunction

Property of University Health Network.

After completing this short quiz, Dr. Paskalev and his team will be happy to interpret the results. Simply send your name and contact information below to our team, and we’ll contact you within 24 hours to schedule a consultation based on your answers.