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(972) 838-1892
PATIENT FORMS
1701 Eldorado Pkwy Suite 250, Mckinney, TX 75069
Mon - Fri : 9:00 AM - 5:00 PM
Shahrukh A Kureishy M.d., F.C.C.P. Board Certified Pulmonologist
(972) 838-1892
PATIENT FORMS
4833 Medical Center Drive, Suite 6B, McKinney, TX 75069
Mon - Fri : 9:00 AM - 5:00 PM
Shahrukh A Kureishy M.d., F.C.C.P. Board Certified Pulmonologist
(972) 838-1892
PATIENT FORMS
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How Sleepy Are You?
Are you likely to doze off or fall asleep in the following situations?
0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing
1. Sitting and reading :
2. Watching T.V.:
3. Sitting in a public place (theater, church, meeting, etc) :
4. A passenger in a car for at least an hour :
5. Resting in the afternoon :
6. Sitting and talking to someone :
7. Sitting quietly after lunch :
8. In a car, stopped, for a few minutes in traffic :
Score Total :
Results
0-10 - could indicate a low chance of apnea.
11-20 - could indicate a mild chance of sleep apnea.
Above 20 - could indicate a high chance of apnea.