OSA-50 Questionnaire Name * First Name Last Name Today's date MM DD YYYY Obesity Waist circumference - Males >102cm or Females >88cm. Measured at the level of the umbilicus. * YES NO Snoring Has your snoring ever bothered other people? * YES NO Apnoeas Has anyone observed you stop breathing or choking/gasping during your sleep? * YES NO Age Are you aged 50 years or over? * YES NO Thank you! Complete our online form below or download a form to complete.
