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About ASC
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Sleep Disorders
In-Lab Sleep Studies
Home Sleep Testing
Pediatrics
CPAP Therapy
Follow-UP/SleepN
Telemedicine
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Order CPAP Supplies
Order Travel CPAP
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SLEEP APNEA QUIZ
Take this short evaluation to see if you are at risk for having obstructive sleep apnea.
SLEEP APNEA QUIZ
First Name*
Last Name*
Email address*
Phone Number*
Do You Snore?*
Yes
No
Is snoring so loud that it can be heard through a door or wall?*
Yes
No
What is your collar size?*
Male: Less than 17 inches (0)
Male: Greater than 17 inches (5)
Female: Less than 14 inches (0)
Female: Greater than 14 inches (5)
Do you have high blood pressure?*
Yes
No
Do you occassionally doze, or fall asleep during the day when you're not busy or active?*
Yes
No
Are you overweight?*
Yes
No
Total Score*
0-5: Low Risk
6-8: Moderate Risk
9 +: High Risk
Do You Live in Alaska*
Yes
No
City*
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About ASC
Who We are
Get to Know Us
Meet Our Staff
Locations
Services
Sleep Disorders
In-Lab Sleep Studies
Home Sleep Testing
Pediatrics
CPAP Therapy
Follow-UP/SleepN
Telemedicine
Sleep Education
Sleep Blogs
FAQ’s
Moms Everyday TV
Patient Resource Page
On-the-job Safety
For Patients
Self-Referral Form
Forms & Packets
Request Appointment
Order CPAP Supplies
Order Travel CPAP
Pediatric Assessment
Employee Safety / DOT
Pay Your Bill
Notice of Breach of Personal Information
For Providers
