Home Research Referrals Nocturna Sleep Therapy Locations Appointments

Answer the following questions:

YES NO
 
1.) Do you snore loudly (loud enough to be heard through closed doors)?
 
2.) Do you often feel tired, fatigued or sleepy during the daytime?
 
3.) Has anyone abserved you stop breathing during your sleep?
 
4.) Do you have or are you being treated for high blood pressure?
 
5.) Male gender?
 
6.) Age 50 or older?
 
7.) Body Mass Index (BMI) greater than 35? (See below for assistance.)
 
8.) Neck circumference greater than 16 inches?
 
 
BMI is > 35 if weight is greater
than listed for corresponding height.
Height (in)
59”
60”
61”
62”
63”
64”
65”
66”
67”
Weight (lb)
173
179
185
191
197
204
210
216
223
Height (in)
68”
69”
70”
71”
72”
73”
74”
75”
76”
Weight (lb)
230
237
243
250
258
265
273
279
287

 


Nocturna Sleep Care, Inc 2011 | 6850 TPC Drive, Ste 206, McKinney, TX 75070