Sleep Screening (Berlin Questionnaire) Berlin Questionnaire Screening for Obstructive Sleep Apnea (OSA) Is it possible that you have ... Obstructive Sleep Apnea (OSA)? https://medien.my/wp-content/uploads/2021/01/Medien-Sleep-Apnea-Animation-v1.0210125.mp4 Please answer the following questions below to determine if you might be at risk. [Category 1] 1. Do you snore? Yes No Don't know None If you snore: 2. Your snoring is? Slightly louder than breathing As loud as talking Louder than talking Very loud. Can be heard in adjacent rooms None 3. How often do you snore? Almost every day 3-4 times per week 1-2 times per week 1-2 times per month None 4. Has your snoring ever bothered other people? Yes No Don't know None 5. Has anyone noticed that you stop breathingduring your sleep? Almost every day 3-4 times per week 1-2 times per week 1-2 times per month Rarely or never None [Category 2] 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 None 7. During your waking time, do youfeel 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 None 8. Have you ever nodded off or fallen asleepwhile driving a vehicle? Yes No None If you answered 'Yes' 9. 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 None [Category 3] 10. Do you have high bloodpressure or BMI is greater than 30kg/m2.?BMI Calculator Click HERE Yes No Don't know None Name Email Contact No. Time's up Berlin Questionnaire Screening for Obstructive Sleep Apnea (OSA) Is it possible that you have … Obstructive Sleep Apnea (OSA)? https://medien.my/wp-content/uploads/2021/01/Medien-Sleep-Apnea-Animation-v1.0210125.mp4 Please answer the following questions below to determine if you might be at risk. [Category 1] 1. Do you snore? Yes No Don’t know None If you snore: 2. Your snoring is? Slightly louder than breathing As loud as talking Louder than talking Very loud. Can be heard in adjacent rooms None 3. How often do you snore? Almost every day 3-4 times per week 1-2 times per week 1-2 times per month None 4. Has your snoring ever bothered other people? Yes No Don’t know None 5. Has anyone noticed that you stop breathingduring your sleep? Almost every day 3-4 times per week 1-2 times per week 1-2 times per month Rarely or never None [Category 2] 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 None 7. During your waking time, do youfeel 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 None 8. Have you ever nodded off or fallen asleepwhile driving a vehicle? Yes No None If you answered 'Yes' 9. 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 None [Category 3] 10. Do you have high bloodpressure or BMI is greater than 30kg/m2.?BMI Calculator Click HERE Yes No Don’t know None Name Email Contact No. Time’s up
