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Sleep Health Test
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Sleep Health Test
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Email
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Phone
Comments
Sleepiness Scale - Test 1 of 2
Have you ever felt sleepy, or think you may get sleepy in the future, doing the following:
You can not proceed to Test 2 unless Sleepiness is 8 or more.
Qualify for a Bulk Billed sleep study if your score is higher than 8.
Never
0pt
Slight
1pt
Moderate
2pts
High
3pts
Sitting and reading
Never
Slight
Moderate
High
Watching TV
Never
Slight
Moderate
High
Sitting inactive in a public place
Never
Slight
Moderate
High
Being a passenger in a car for an hour
Never
Slight
Moderate
High
Lying down in the afternoon
Never
Slight
Moderate
High
Sitting and talking to someone
Never
Slight
Moderate
High
Sitting quietly after lunch (without alcohol)
Never
Slight
Moderate
High
Stopping for a few minutes in traffic
Never
Slight
Moderate
High
This field is hidden when viewing the form
ESS Score
Score
0
/24
You can not proceed to Test 2 unless Sleepiness is 8 or more. Qualify for a Bulk Billed sleep study if your score is higher than 8.
We’re sorry to say you do not qualify for a bulk-billed sleep test. You can, however, get a private sleep study for $300, or you can retake the test.
Your Sleepiness score is greater than 8. You may now proceed to the next test.
Stopbang - Test 2 of 2
Please select which are applicable.
Qualify for a Bulk Billed sleep study if your score is higher than 3.
Snore
Yes
S
- Do you
S
nore?
Tired
Yes
T
- Do you feel
T
ired during the day time?
Observed
Yes
O
- Has anyone
O
bserved you stop breathing during sleep?
Pressure
Yes
P
- Are you being treated for High Blood
P
ressure
Body
Yes
B
- Is your
B
ody Mass Index greater than 35?
Age
Yes
A
- Are you
A
ge 50 or older?
Neck
Yes
N
- Is your
N
eck circumference greater than 40cm?
Gender
Yes
G
- Is your
G
ender male?
This field is hidden when viewing the form
STOPBANG Score
Score
/8
Qualify for a Bulk Billed sleep study if your score is higher than 3.
Your Stopbang score is higher than 3, you may have sleep apnoea.
You qualify for a bulk billed sleep study
You may be suffering from Sleep Apnoea. Get your bulk billed sleep study with Rise Sleep today by taking these results to your GP. Sleep Apnoea is a condition affecting the lives of many Australians. Rise Sleep is here to help. Our qualified sleep professionals can analyse your sleep patterns and address concerns to get you on track to better sleep health.
Get a Rise Sleep Study today
We’re sorry to say you do not qualify for a bulk-billed sleep test. You can, however, get a private sleep study for $300, or you can retake the test.
Epworth Sleepiness Scale (ESS)
Sitting and reading
Watching TV
Sitting inactive in a public place
Being a passenger in a car for an hour
Lying down in the afternoon
Sitting and talking to someone
Sitting quietly after lunch (without alcohol)
Stopping for a few minutes in traffic
STOPBANG
S
- Do you
S
nore?
T
- Do you feel
T
ired during the day time?
O
- Has anyone
O
bserved you stop breathing during sleep?
P
- Are you being treated for High Blood
P
ressure
B
- Is your
B
ody Mass Index greater than 35?
A
- Are you
A
ge 50 or older?
N
- Is your
N
eck circumference greater than 40cm?
G
- Is your
G
ender male?
Get a Rise Sleep pre-filled referral form for your GP today
Please fill out the form below to generate an email of your sleep-health score to provide to your GP for a Rise Sleep Study referral. Your sleep-health score will not be shared with third parties.
Email Results
Please email me my sleep-health score to provide to my GP for referral to Rise.
Rise Contact
Please contact me to discuss my sleep health and organise a sleep study
Name
This field is for validation purposes and should be left unchanged.
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