Sleep Apnea Self Tests

The only way to be sure if you have obstructive sleep apnea is to have a sleep test either at home from a qualified sleep physician or in a hospital sleep center. Please feel free to print these tests (requires free Adobe Reader®), fill them out and take them with you to your physician.


Self Tests

The Epworth Sleepiness Scale - Click to Download

How likely are you to doze off or fall asleep in the following situations?
Choose the most appropriate number for each situation:
0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing

Activity Score
Sitting and Reading _____
Watching TV _____
Sitting, inactive in a public place (theater, meeting, etc.) _____
As a passenger in a car for an hour without a break _____
Lying down to rest in the afternoon when circumstances permit _____
Sitting and talking to someone _____
Sitting quietly after lunch without alcohol _____
In a car, while stopped for a few minutes in traffic _____
Total _____

*A score of 9 or above indicates you may be having a problem with daytime sleepiness but below 9 does not necessarily mean that you don't have a problem. See your healthcare professional for advice if you snore, have been told that you awake gasping for breath or if you are sleepy during the day.


Sleep Observer Scale - Click to Download

The following questions relate to the behavior that you have observed in the patient while he/she is asleep. Use the following scale to choose the most appropriate number for each situation:
1=Infrequently (1 night per week)
2=Frequently (2-3 nights per week)
3=Most of the time (4 or more nights per week)

Observed Behavior Score
Loud, irritating snoring _____
Choking or gasping for air _____
Pauses in breathing _____
Twitching / kicking of arms or legs _____
Snoring requiring separate bedrooms _____
Falling asleep inappropriately (example: while driving or at meetings) _____
Total _____




*A score of 5 or greater indicates symptoms which are affecting the health, safety, or quality of life of the observed person.

Questions? Want to talk to a Plano sleep apnea dentist about your results?

If you have questions about the results of your sleep apnea self test, or if you would like to request a consultation to learn more about sleep apnea therapies in Plano, TX, please contact us today or request an appointment online.


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