The STOP-Bang Questionnaire is intended to give clinicians an easy-to-use tool to identify people who might have obstructive sleep apnea. The questionnaire consists of eight yes-or-no questions based on the major risk factors for OSA. The name STOP-Bang is an acronym for the first letter of each symptom or physical attribute often associated with OSA
Risk (practice staff to complete)
High risk is yes to 5-8 or more questions above
Intermediate risk is yes to 3-4 questions
Low risk is yes to less than three questions above
Medicare rebatable refferal needs yes to 3 or more
Adapted from the official STOP bang site
The ESS is a self-administered questionnaire with 8 questions. Respondents are asked to rate, on a 4-point scale (0-3), their usual chances of dozing off or falling asleep while engaged in eight different activities. Most people engage in those activities at least occasionally, although not necessarily every day.
Use the following scale to choose the most appropriate number for each situation. Even if you haven’t done some of these things recently, try to work out how they would have affected you. It is important that you answer each question as best you can
0 = would neverdoze
1 = slight chanceof dozing
2 = moderate chanceof dozing
3 = high chanceof dozing
For Clinic Use: Medicare Requirment for referral is a score of 8 or more AND 3 or more on STOP-Bang
0-5 = Lower normal daytime sleepiness
6-10 Higher nornmal daytime sleepiness
11-12 mild escess daytime sleepiness
13-15 Moderate excessive daytime sleepiness
16-24 Severe excessive daytime sleepiness
Adapted from the EES site
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