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Berlin Questionnaire

The Berlin Questionnaire is a simple sleep apnoea screening questionnaire used to quickly indentify the risk (low to high) of sleep disordered breathing. The questionnaire consists of 3 categories and risk is based on the responses to individual items and overall scores in the symptom categories.

This data is not shared and will not be used for marketing purposes. Please consult our privacy policy if needed. We will expire this data after 12 months.

About You
Forename
Surname
Your Age (Yrs)
Your Sex
Your Height
Centimeters
Your Weight
Kilogrammes
Category 1
Do you snore?
Your snoring is:
How often do you snore?
Has your snoring ever bothered other people?
Has anyone noticed that you stop breathing during your sleep?
Category 2
How often do you feel tired or fatigued after your sleep?
During your waking time, do you feel tired, fatigued or not up to par?
Have you ever nodded off or fallen asleep while driving a vehicle?
How often does this occur?
Category 3
Do you have high blood pressure?

Adapted from: Table 2 from Netzer, et al., 1999. (Netzer NC, Stoohs RA, Netzer CM, Clark K, Strohl KP. Using the Berlin Questionnaire to identify patients at risk for the sleep apnoea syndrome. Ann Intern Med. 1999 Oct 5; 131(7): 485-91).