OSA-50 Questionnaire Complete our online form below or download a form to complete. Name * First Name Last Name Today's date * MM DD YYYY Obesity * Is your waist circumference >102cm (males) or >88cm (females)? Yes - Score 3 No - Score 0 Snoring * Has your snoring ever bothered other people? Yes - Score 3 No - Score 0 Apnoeas * Has anyone noticed that you stop breathing during your sleep? Yes - Score 2 No - Score 0 50 * Are you over 50 years old? Yes - Score 2 No - Score 0 TOTAL SCORE * /10 points Thank you!
