Snoring Questionnaire
The following questionnaire should be taken by the partner of the person that may need to be evaluated for snoring. Record your answer to each question, and then follow the link at the end of the quiz to evaluate the results.
Please pick the answer in each of the three questions below that best describes your partner's snoring:
1. How often does your partner snore?
A. Every night (3 points)
B. Snores on most nights (more than 50% of nights) (2 points)
C. Snores on some nights (less than 50% of nights) (1 point)
D. Snores very rarely or never (0 points)
2. How much does your partner snore?
A. Snores all the time throughout the night (3 points)
B. Snores most of the time throughout the night (more than 50% of the time) (2 points)
C. Snores some of the time during the night (less than 50% of the time) (1 point)
D. Hardly snores or no snoring (0 points)
3. How loud is the snore?
A. Snoring can be heard throughout the floor/flat or louder with the bedroom door closed (3 points)
B. Snoring can be heard in the next room with the bedroom door closed (2 points)
C. Snoring can only be heard in the bedroom (1 point)
D. There is no snoring noise (0 points)
A score of 5 or more suggests that your partner should be evaluated by a physician for a possible sleep problem. For more information, please contact us today.
This questionnaire has been taken from The Journal of Laryngology and Otology, April 1999, 113(4):336-40.
