Could poor sleep be affecting your health and daily life?
This questionnaire helps visitors identify symptoms that may require further discussion with a healthcare professional. It is not a diagnostic test and does not replace a sleep study, medical consultation or emergency assessment.
A general screening and enquiry tool.
The questions cover night-time symptoms, daytime symptoms, general risk information and your normal sleep routine.
Persistent poor sleep, unusual night-time events, breathing concerns or daytime tiredness should be discussed with a qualified healthcare professional.
Questionnaire Licensing Note
The exact Epworth Sleepiness Scale and STOP-Bang questionnaire should not be copied or branded as original practice tools without confirming the relevant permissions and licensing terms. The custom questionnaire on this page is an awareness and enquiry tool and must not be represented as either licensed instrument.
Important safety notice
Do not drive when dangerously sleepy. Seek urgent help if you experience severe breathing difficulty or another medical emergency.
Ready to arrange your appointment?
Contact the practice directly or complete the secure appointment form on the Contact page. A referral will be required from your private healthcare physician or a referring medical specialist.
Contact the practice or complete our appointment form.
Visit the Contact page to send a general enquiry, call or email the practice, or complete the secure appointment form online.
This website does not provide a diagnosis and is not monitored as an emergency service.