Good night. Good health.

A good night’s sleep is as important to your health as nutrition and exercise. Restful, refreshing sleep helps restore vitality to both mind and body.

On the other hand, sleep disorders can seriously impact your health, well-being and safety. Left untreated, these conditions can lead to chronic health problems including

  • High blood pressure
  • Heart disease
  • Stroke
  • Obesity
  • Diabetes

How Is Your Sleep? Take a Free Sleep Assessment.

Find out now if you have a sleep condition that needs addressed and what you can do about it.

You should seek help if you have trouble sleeping or think you may have a sleep problem. Your primary care provider can help you determine if you need to see a sleep specialist or have a sleep study.

Proceed to Part One

Part One: Sleep Apnea

One of the most common sleep disorders is sleep apnea, which means to stop breathing during sleep.

Many people don't realize snoring can cause significant health issues. Often it is a bed partner, family member or friend who notices the signs of sleep apnea: snoring, snorting or gasping for air.

Left untreated, sleep apnea may lead to a number of significant medical problems.

The STOP-BANG Questionnaire is a research-validated tool which can help identify if you are at risk for obstructive sleep apnea.

Please answer the following:


Snoring?

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


Tired?

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


Observed?

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


Pressure?

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


Body Mass Index more than 35 kg/m2

BMI Index Calculator


Age?

Are you older than 50?


Neck size large? (Measured around Adams apple)

For male, is your shirt collar 17 inches / 43cm or larger?
For female, is your shirt collar 16 inches / 41cm or larger?


Gender = Male?


Now Let’s Assess Your Quality of Sleep

STOP-Bang Questionnaire was developed by Dr. Frances Chung at the University Health Network (UHN). Any reproduction or use of this questionnaire without permission from UHN is strictly prohibited. For further information please visit www.stopbang.ca

Part Two: Quality of Sleep

Now, let’s look at the quality of your sleep.

Low sleep quality may be due to poor sleep practices (e.g. caffeine close to bedtime, heavy evening meals, etc.) or due to a sleep disorder. Assessing your quality of sleep will help you determine next steps for better sleep. The Pittsburg Sleep Quality Index (PSQI) is a validated tool to help determine your sleep quality.

INSTRUCTIONS:

The following questions relate to your usual sleep habits during the past month only. Your answers should indicate the most accurate reply for the majority of days and nights in the past month. Please answer all questions.

During the past month:

When have you usually gone to bed?

Hour:
Minute:

How long (in minutes) has it taken you to fall asleep each night?

Minutes:

What time have you usually gotten up in the morning?

Hour:
Minute:

How many hours of actual sleep did you get at night?

Hours:

How many hours were you in bed?

Hours:
During the past month, how often have you had trouble sleeping because you: Not during the past month Less than once a week Once or twice a week Three or more times a week
Cannot get to sleep within 30 minutes
Wake up in the middle of the night or early morning
Have to get up to use the bathroom
Cannot breathe comfortably
Cough or snore loudly
Feel too cold
Feel too hot
Have bad dreams
Have pain
Other reason (s), please describe, including how often you have had trouble sleeping because of this reason (s):
Not during the past month Less than once a week Once or twice a week Three or more times a week
During the past month, how often have you taken medicine (prescribed or “over the counter”) to help you sleep?
During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity?
During the past month, how much of a problem has it been for you to keep up enthusiasm to get things done?
Very Good Fairly Good Fairly Bad Very Bad
During the past month, how would you rate your sleep quality overall?

Copyright 1989 and 2010. University of Pittsburgh. All rights reserved. Developed by Buysse, D.J., Reynolds, C.F., Monk, T.H., Berman, S.R., and Kupfer, D.J. of the University of Pittsburgh using National Institute of Mental Health Funding.

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ: Psychiatry Research, 28:193-213, 1989.

This form may only be used for non-commercial education and research purposes. If you would like to use this instrument for commercial purposes or for commercially sponsored research, please contact the Innovation Institute at the University of Pittsburgh at 412-383-7670 for licensing information

Get Your Sleep Assessment Results

Your Sleep Assessment Results

Part 1: STOP-BANG Results (assessing obstructive sleep apnea):

Your score is out of 8.

You are at High Risk for Obstructive Sleep Apnea (OSA). We recommend you take the results of this questionnaire to your primary care doctor.

Find a doctor or call 503-582-2185.

You are at Moderate Risk for Obstructive Sleep Apnea (OSA). We recommend you take the results of this questionnaire to your primary care doctor.

Find a doctor or call 503-582-2185.

You are at Low Risk for Obstructive Sleep Apnea (OSA). If you still think you may have a sleep disorder we recommend you contact your primary care doctor.

Find a doctor or call 503-582-2185.


Part 2: PSQI Results (assessing overall sleep quality)

Your score is .

Your score indicates you have poor sleep quality. We recommend you take the results of this questionnaire to your primary care doctor.

Find a doctor or call 503-582-2185.

You don’t have particularly poor sleep quality, but if you still feel you don’t sleep well or you have other sleep problems, please contact your doctor.

Find a doctor or call 503-582-2185.

Print Results


Providence Sleep Expertise

Providence has been diagnosing and treating sleep disorders for more than 30 years.

If your doctor refers you to a Providence Sleep Disorders Center, you can be assured of receiving the highest-quality care from staff who are trained and credentialed to conduct sleep studies. Board-certified sleep physicians evaluate each sleep study and can provide a formal consultation if your doctor requests it.

Our five sleep centers are located on hospital campuses where medical expertise is readily available. All procedures, testing and treatment meet or exceed standards established by the American Academy of Sleep Medicine. We provide both overnight and daytime testing in our sleep centers. In addition, we offer home sleep testing and pediatric sleep services.

Providence St. Vincent Medical Center
9155 SW Barnes Road, Suite 409
Portland, OR 97225 • 503-216-2010

Providence Portland Medical Center
4805 NE Glisan St., 3M
Portland, OR 97213 • 503-215-3095

Providence Milwaukie Hospital
10150 SE 32nd Ave.
Milwaukie, OR 97222 • 503-215-3095

Providence Newberg Medical Center
1515 Portland Road
Newberg, OR 97132 • 503-537-5649

Providence Medford Sleep Center
1111 Crater Lake Ave.
Medford, OR 97504 • 541-732-7888

Sleep Tips

Here are some healthy sleep habits* than can improve your ability to fall asleep and stay asleep:

  • Keep a consistent sleep schedule. Get up at the same time every day, even on weekends or during vacations.
  • Set a bedtime that is early enough for you to get at least 7 hours of sleep.
  • Don’t go to bed unless you are sleepy.
  • If you don’t fall asleep after 20 minutes, get out of bed.
  • Establish a relaxing bedtime routine.
  • Use your bedroom for sleeping only. Don't eat, work or watch TV in bed.
  • Make your bedroom quiet and relaxing. Keep the room at a comfortable, cool temperature.
  • Limit exposure to bright light in the evenings.
  • Turn off electronic devices at least 30 minutes before bedtime.
  • Don’t eat a large meal before bedtime. If you are hungry at night, eat a light, healthy snack.
  • Exercise regularly and maintain a healthy diet.
  • Avoid consuming caffeine in the late afternoon or evening.
  • Avoid consuming alcohol before bedtime.
  • Reduce your fluid intake before bedtime.

Complete Questionnaires

*From “Healthy Sleep Habits” Copyright @copy; 2017 American Academy of Sleep Medicine”


STOP-Bang Questionnaire was developed by Dr. Frances Chung at the University Health Network (UHN). Any reproduction or use of this questionnaire without permission from UHN is strictly prohibited. For further information please visit www.stopbang.ca

Copyright 1989 and 2010. University of Pittsburgh. All rights reserved. Developed by Buysse, D.J., Reynolds, C.F., Monk, T.H., Berman, S.R., and Kupfer, D.J. of the University of Pittsburgh using National Institute of Mental Health Funding.

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ: Psychiatry Research, 28:193-213, 1989.

This form may only be used for non-commercial education and research purposes. If you would like to use this instrument for commercial purposes or for commercially sponsored research, please contact the Innovation Institute at the University of Pittsburgh at 412-383-7670 for licensing information

©2017 Providence Health & Services. All Rights Reserved. Terms & Use of Privacy Policy | Disclaimer | Notice of Nondiscrimination and Accessibility Rights

©2017 Providence Health & Services. All Rights Reserved. Terms & Use of Privacy Policy | Disclaimer | Notice of Nondiscrimination and Accessibility Rights