1

Are you sleepy during the day?

2

Are you doze off during the day spontaneously?

3

Do you find it difficult to concentrate for long periods?

4

Do you feel less efficient than you used to?

5

Do you snore loudly or do others say you do?

6

Has your partner witnessed you stopping breathing during your sleep?

7

Do you wake up in the morining with headache?

8

Do you feel tired and dizzy in the morning?

9

Do you fall asleep when watching TV, reading, working at the office, driving car and/or talking to others?

10

Do you have difficulties getting off to sleep at night?

11

Do you wake up during the night?

12

Do you wake up earlier than you used to or is it taking you longer to get back to sleep than used to be the case?

13

Do you fidget in your sleep and/or is your bed rumpled in the morning?