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Office Location
Don H. Lowrance, DDS
4707 Everhart Road #101
Corpus Christi, TX 78411
(361) 851-8274
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Sleep Self-Evaluation

The Berlin Sleep Questionnaire


Please answer all of the below questions.

1. Do you snore?

If you snore...

2. Your snoring is...

3. How often do you snore?

4. Does your snoring bother other people?

5. Has anyone noticed that you quit breathing during your sleep?

6. Are you tired after sleeping?

7. Are you tired during waketime?

8. Have you nodded off or fallen asleep while driving?

9. How often does it occur?

10. Do you have high blood pressure?*


You scored out of . You have a % risk of sleep-related issues and sleep apnea.

If your score was 6 or higher,
contact Dr. Lowrance right away.

Take Another Sleep Test

Epworth Sleepiness Scale

Print this page and bring it with you to your consultation.

Download as PDF

Copyright© Annals of Internal Medicine 1999.

 

Sleep Apnea is a medical condition that must be diagnosed by a Sleep Physician with an overnight sleep study (PSG). Sleep Dentists work with the physician to manage the Sleep Apnea with appropriate oral appliances. Dentists cannot treat Sleep Apnea without a referral from a Sleep Physician.

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