Lamberg Questionnaire

The Lamberg Questionnaire

A Risk Assessment Tool For Sleep Apnea version 4.0

 

Printable PDF → Order LQ Pads →

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?

3: PULMONOLOGY

  • 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?

4: GASTROENTEROLOGY

  • 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?

5: NEUROLOGY

  • Do you experience numbness, tingling or pain in your feet or hands?
  • Do you ever experience muscle weakness or difficulty with coordination?

6: ENDOCRINOLOGY

  • 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?

7: OTOLARYNGOLOGY

  • 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?

8: UROLOGY

  • 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?

11: RHEUMATOLOGY

  • 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?