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Berlin Questionnaire

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Berlin Questionnaire

The Berlin Questionnaire is a short survey designed to quickly determine if you are at risk for a sleep disorder called sleep apnea.

Do you snore?

 
 
 

If you snore, is your snoring….

 
 
 
 

How often do you snore?

 
 
 
 
 

Has your snoring ever bothered other people?

 
 
 

Has anyone noticed that you quit breathing during your sleep?

 
 
 
 
 

How often do you feel tired or fatigued after you sleep?

 
 
 
 
 

During your waking time, do you feel tired, fatigued or not up to par?

 
 
 
 
 

Have you ever nodded off or fallen asleep while driving a vehicle?

 
 

If you have fallen asleep while driving, how often does this occur?

 
 
 
 
 

Do you have high blood pressure?

 
 
 

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