13
Appendix 1: STOP-Bang Sleep Apnea Questionnaire
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)?
❑ ❑
Tired?
Do you oen feel Tired, Fatigued, or Sleepy during
the daytime (such as falling asleep during driving )?
❑ ❑
Observed?
Has anyone Observed you Stop Breathing or
Choking/Gasping during your sleep?
❑ ❑
Pressure?
Do you have or are being treated for High Blood
Pressure?
❑ ❑
Body Mass Index more than 35 kg/m
2
?
❑ ❑
Age older than 50-year-old?
❑ ❑
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?)
❑ ❑
Gender = Male?
❑ ❑
Scoring Criteria for General Population
Low risk of OSA: Yes to 0–2 questions
Intermediate risk of OSA: Yes to 3–4 questions
High risk of OSA: Yes to 5–8 questions, or
Yes to 2 or more of 4 STOP questions + male gender, or
Yes to 2 or more of 4 STOP questions + BMI >35 kg/m
2
, or
Yes to 2 or more of 4 STOP questions + neck
circumference
Modified from Chung F et al. Anesthesiolog y 2008;108:812-21, Chung F et al. Br J
Anaesth. 2012;108:768–75; Chung F et al. J Clin Sleep Med. 2014;10(9):951-8.
"With permission from University Health Network, www.stopbang.ca"
