STOP-BANG (OSA Risk Assessment)

2 mins

An 8-item clinical screening tool evaluating risk factors for Obstructive Sleep Apnea (OSA).

1. Patient Details•2. Symptom Scorecard & Submission

Step 1: Patient Details & Evaluation Stage

Please provide your contact information to associate with this medical self-assessment.

Full Name *

Date of Birth *

Email Address *

Contact Phone *

When are you completing this questionnaire? *

Why complete this questionnaire?

Snoring can be a sign of Obstructive Sleep Apnea. STOP-BANG screens key physical and historical indicators to help Mr Hariri evaluate if home sleep apnea monitoring or surgery is appropriate.