Initial sleep screening

A framework for Epworth, STOP-BANG, and sleep-pattern questions so patients can bring initial scores to consultation.

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This screening helps patients arrive with an initial score for consultation. Results do not replace polysomnography or sleep-physician assessment.

Epworth Sleepiness Scale (ESS)

For each situation, choose how likely you would doze off recently, not only when tired.

0 — Would never doze

1 — Slight chance of dozing

2 — Moderate chance of dozing

3 — High chance of dozing

01 Sitting and reading.

02 Watching TV.

03 Sitting inactive in a public place (meeting, theatre, worship).

04 As a passenger in a car for an hour without a break.

05 Lying down to rest in the afternoon when possible.

06 Sitting and talking to someone.

07 Sitting quietly after a lunch without alcohol.

08 In a car, stopped for a few minutes in traffic.

Your score

0/24

0/8

Interpretation

Daytime sleepiness within normal range *

ESS 0–7 usually does not indicate excessive daytime sleepiness. Still discuss if sleep feels unrefreshing.

Answer Yes or No. STOP-BANG estimates the risk of obstructive sleep apnea, not a final diagnosis.

S Snoring — Do you snore loudly (loud enough to hear through a closed door)?

T Tired — Do you often feel tired or sleepy during the day?

O Observed — Has anyone seen you stop breathing or gasp during sleep?

P Pressure — Do you have or are you treated for high blood pressure?

B BMI — Is your body mass index above 35 kg/m²?

A Age — Are you older than 50 years?

N Neck — Is your neck circumference larger than 40 cm?

G Gender — Are you male?

Your score

0/8

Interpretation

Low risk *

Score 0–2 generally indicates low OSA risk. Discuss if loud snoring or daytime sleepiness persists.

Summary for the doctor

Bring this score to consultation or photograph this page.