Obstructive Sleep Apnoea (Norwich Four Point Questionnaire)

If you have been advised by the practice to do so, please submit this form.

To calculate your BMI, please use the NHS BMI Calculator website.

Obstructive Sleep Apnoea (Norwich Four Point Questionnaire)

Obstructive Sleep Apnoea (Norwich Four Point Questionnaire)

Section

Questionnaire

Do you snore every night? *
Do you wake up every morning unrefreshed? *
Do you or can you fall asleep unrefreshed inappropriately in the afternoon at least five times a week? *
Is your BMI less than 25kg/m²? *