Solea Snoring Treatment Screening Form Do you snore loud enough to be heard through closed doors and/or does your partner elbow you? YesNo Do you often feel tired during the day? YesNo Do you fall asleep driving or talking to some one? YesNo Has anyone observed you stopped breathing, choking or gasping during sleep? YesNo Do you have high blood pressure? YesNo Is your BMI more than 35kg/m2? YesNo Is your age older than 50? YesNo Is your neck size large, shirt collar > 16 inches (40cm)? YesNo Is your gender male? YesNo Submit 0-2 low risk 3-4 intermediate 5-9 high risk Anyone above a 3 should call us for a Free Evaluation.