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  • About
    • Dr. Patel
    • Dr. Bauman
    • Dr. Neha
    • The Team
    • Our Office
    • Miss Georgia USA
    • Mission Work
  • Services
    • Cosmetic Dentistry
      • Smile Makeovers
      • Teeth in a Day
      • Porcelain Veneers
      • CEREC “Same-Day Crowns”
      • Missing Teeth
      • Partial, Full & Implant Dentures
      • Invisalign
      • Teeth Whitening
    • General Dentistry
      • Fillings
      • Root Canal
      • TMJ
      • Bruxism
      • Periodontal Treatment
      • Fluoride Treatments
    • Sedation Dentistry
    • Teeth in a Day
      • Are you a Candidate?
      • FAQ
      • Financing Options
      • Before & Afters
      • Testimonials
    • Sleep Apnea
    • Virtual Consultation
  • Patient Stories
    • Case Studies
    • Smile Gallery
  • Resources
    • Comfort & Technology
    • Blog
    • Video Library
    • Hygiene Instructions
    • Frequently Asked Questions
    • Insurance
    • Financing
    • New Patient Forms
    • Patient Portal
  • Contact
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  • About
    • Our Office
    • Meet Dr. Patel
    • Meet Dr. Bauman
    • Meet Dr. Neha
    • Meet the Team
    • Mission Work
  • Services
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    • General Dentistry
    • Sedation Dentistry
    • Virtual Consultation
  • Patient Resources
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STOP-Bang Questionnaire

Is it possible that you have Obstructive Sleep Apnea (OSA)?
Please answer the following questions below to determine if you might be at risk.
Snoring *

Snoring?
Do you Snore Loudly (loud enough to be heard through closed doors or your bed-partner elbows you for snoring at night)?

Tired *

Tired?
Do you often feel Tired, Fatigued, or Sleepy during the daytime (such as falling asleep during driving or talking to someone)?

Observed *

Observed?
Has anyone Observed you Stop Breathing or Choking/Gasping during your sleep?

Pressure *

Pressure?
Do you have or are being treated for High Blood Pressure?

BMI *

Body Mass Index more than 35 kg/m2?

Age *
Age older than 50?
Neck *
Neck size large ? (Measured around Adams apple)
Is your shirt collar 16 inches / 40cm or larger?
Gender *
Gender = Male ?

By submitting your screening responses, you agree that a representative from our team may contact you to discuss your results and provide information about sleep apnea treatment options, including CPAP alternatives.

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