How likely are you to doze off or fall asleep while sitting and reading?
How likely are you to doze off or fall asleep while watching television?
How likely are you to doze off or fall asleep while sitting inactive in a public place (e.g. a theatre/meeting)?
How likely are you to doze off or fall asleep as a passenger in a car for an hour with no break?
How likely are you to doze off or fall asleep while lying down in the afternoon (when possible)?
How likely are you to doze off or fall asleep while sitting and talking to someone?
How likely are you to doze off or fall asleep while sitting quietly after lunch without alcohol?
How likely are you to doze off or fall asleep in a car, while stopped for a few minutes in traffic?
Do you snore loudly (loud enough to be heard through closed doors)?
Do you often feel tired, fatigued or sleepy during the daytime (falling asleep while driving or talking to someone)?
Has anyone observed you stop breathing or choking/gasping during your sleep?
Do you have or are you being treated for high blood pressure?
Is your Body Mass Index more than 35 kg/cm2? Body Mass Index = Weight (kg) / Height2 (cm)
