Take The Sleep Apnea Self-Test
Physician Referral Forms
604-558-0055
The Epworth “Sleepiness” test has been used for many years to assist in both diagnosis and research of Sleep Disordered Breathing.
Sleepiness may:
- indicate a serious underlying disease
- lead to heart attack, stroke, diabetes, high blood pressure, headaches, memory loss, sexual dysfunction, irritability
- cause work/road accidents
To take the self-test, please fill out the form below.
How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, try to work out how they would have affected you. Use the following scale to choose the most appropriate number for each situation.
