The Lamberg Questionnaire
A Risk Assessment Tool For Sleep Apnea version 4.0
1: STANDARD QUESTIONS
- Do you awaken unrefreshed or feel sleepy during the day?
- Is your snoring loud enough to disturb others?
- Have you been aware of your snoring for a long time?
- Have you been told your breathing stops while asleep?
- Do you ever wake yourself from sleep feeling that you are choking?
- Have you ever had a sleep study?
- Have you tried CPAP? (was the pressure > 10.5 cm? Y/N) Is your BMI > 27? Or is your neck size > 17 men, or > 15.5 women?
2: CARDIOLOGY & VASCULAR
- Do you have high blood pressure or take medicine for hypertension?
- Have you been diagnosed with: CAD, Stroke, Congestive Heart Failure, A Fib, or other cardiomyopathy?
- Do you have a pacemaker?
- Do you have elevated total cholesterol levels?
- Have you experienced difficulty breathing during the day?
- Do you have shortness of breath, even with mild exertion?
- Have you been diagnosed with COPD or Asthma?
- Is Asthma worse at night?
- Do you have a chronic cough, either dry or productive?
- Do you experience heartburn or acid reflux at night or in the morning?
- Have you or your dentist noticed erosion on molars?
- Do you take heartburn medications, either prescription or over the counter?
- Do you experience numbness, tingling or pain in your feet or hands?
- Do you ever experience muscle weakness or difficulty with coordination?
- Have you been diagnosed with diabetes?
- Have you unexpectedly gained or lost weight lately?
- Have you gone through menopause?
- Are you on HRT?
- Do you experience repetitive limb movements or jerks in sleep, urges to move legs, or night sweats?
- Do you experience a dry mouth upon awakening?
- Do you have difficulty breathing through your nose?
- Do you have allergies that make nasal breathing difficult?
- Is post nasal drip a frequent problem?
- Do you experience erectile dysfunction?
- Experience decreased interest in sex or have you taken medications to enhance sexual performance?
- Do you ever leak urine involuntarily?
- Do you have to urinate several times at night, or have you been diagnosed with BPH?
9: BRUXISM AND TMD
- Do you grind your teeth while sleeping?
- Do your front teeth have a worn look?
- Have you had jaw muscles or joint pain, ringing in your ears, vertigo, or dizziness?
10: PSYCHOLOGY & PSYCHIATRY
- Are you irritable upon waking in the morning?
- Do you experience insomnia? (either falling asleep or maintaining sleep)
- Do you experience: depression, PTSD, memory or concentration problems?
- Do you take medications for any of these conditions?
- Have you ever been diagnosed with Gout?
- Have you ever been diagnosed with Rheumatoid Arthritis?
12: CHRONIC PAIN
- Do you often wake up with a headache?
- Do you experience any chronic pain anywhere in your body?
- Do you take medications for pain on a daily basis?
13: PEDIATRICS (EXCLUDE FROM SCORING)
- Do you know any children who are mouth breathers, or who make any sleep breathing sounds?
- Do you know any children with bedwetting problems?