If you score 5 or more, you show symptoms of suggestive of sleep apnea a potentially serious disorder which causes you to stop breathing repeatedly. This can lead to high blood pressure, Heart attack or Stroke later in life.

NTSC Sleep Questionnaire

1.

Do you snore while asleep?

2.

Have you been told you hold your breath in your sleep?

3.

Do you wake at night gasping for breath?

4.

Do you have no energy during the day?

5.

Do you wake in the morning feeling tired?

6.

Have you been forgetful?

7.

Do you wake up often with a headache?

8.

Do you feel irritable most of the time?

9.

Do you wake up in the night with a dry mouth or a dry throat?

10.

Do you sweat a lot at night?

11.

Do you wake up with heart pounding?

12.

Are you at least 20 pounds overweight?

13.

Do you have trouble staying awake during the day?

14.

Do you have trouble concentrating?

15.

Have you dozed off while driving?

16.

Is your neck collar size 17” plus?

17.

Do you suffer with high Blood Pressure?

18.

Does alcohol make some of your
symptoms worse?

19.

Have you tried remedies that didn’t work?

20.

Is this getting worse over time?



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