Self Evaluation

Complete the STOP-BANG Questionnaire below to help determine if you are at risk for obstructive sleep apnea. Once you’ve completed the questionnaire, you can send us your results to SleepApnea Surgicure for follow-up consultation. We do not collect personally-identifiable information when you take test – only if you send your results to us.

Please read our Privacy Policy and our HIPAA Privacy Policy if you have any further questions.

DOWNLOAD THE STOP-BANG QUESTIONNAIRE (.pdf/15K)

If you would like to submit your results to Surgical Sleep Solutions, you can send us an email at: info@sleepapneasurgicure.com.

We will have one of our clinical staff review your self evaluation results and our office administrator will work with you to setup a time for a consultation: