Berlin Questionnaire Sleep Apnea

1. Do you snore?
Yes
No
I don't know
2. You snoring is:
Slightly louder than breathing
As loud as talking
Louder than talking
Very loud, can be heard in adjacent rooms
3. How often do you snore?
Almost every day
3-4 times per week
1-2 times per week
1-2 times per month
Rarely or never
4. Has your snoring ever botheredother people?
Yes
No
Don’t know
5. Has anyone noticed that you stop breathing during your sleep?
Almost every day
3-4 times per week
1-2 times per week
1-2 times per month
Rarely or never
6. How often do you feel tired orfatigued after your sleep?
Almost every day
3-4 times per week
1-2 times per week
1-2 times per month
Rarely or never
During your waking time, do you feel tired, fatigued or not up topar?
Almost every day
3-4 times per week
1-2 times per week
1-2 times per month
Rarely or never
Have you ever nodded off or fallen asleep while driving a vehicle?
Yes
No
How often does this occur?
Almost every day
3-4 times per week
1-2 times per week
1-2 times per month
Rarely or never
Do you have high blood pressure?
Yes
No
Don’t know
{"name":"Berlin Questionnaire Sleep Apnea", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"1. Do you snore?, 2. You snoring is:, 3. How often do you snore?","img":"https://www.poll-maker.com/3012/images/ogquiz.png?sz=1200-00000000001000005300"}
Make your own Survey
- it's free to start.