Your Sleep Questionnaire

Questionnaire

Providing expert sleep diagnosis and respiratory care for over 20 years.

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Your sleep

Do you snore loudly?(Required)
Does your snoring bother other people?(Required)
Has anyone noticed you stop breathing during sleep?(Required)
Does this happen at least 3-4 times per week?(Required)
Do you feel tired, fatigued or sleepy after your sleep?(Required)
Do you feel tired/fatigued at least 3-4 times per week?(Required)
During your wake time do you feel tired, fatigued and not up to par at least 3-4 times per week?(Required)

About you

Over 50 years of age?(Required)
Are you male?(Required)
Waist circumference: male > 102cm or female > 88cm?(Required)
BMI > 30?(Required)
BMI > 35?(Required)
Do you have high blood pressure?(Required)

DO YOU SUFFER FROM EXCESSIVE DAYTIME SLEEPINESS?

The following questionnaire will help you measure your general level of daytime sleepiness. You are to rate the chance that you would doze off or fall asleep during different, routine, daytime situations. Answers to the questions are related to the Epworth Sleepiness Scale (ESS). Each item is rated from 0-3, with 0 meaning you would never doze or fall asleep in a given situation, and 3 meaning that there is a very high chance that you would doze or fall asleep in that situation.

How likely are you to doze off or fall asleep in the following situations, in contrast to just feeling tired? Even if you have not done some of these activities recently, think about how they would have affected you. Use this scale for the most appropriate number for each situation:

0 = would never doze 1 = slight chance of dozing 2 = moderate chance 3 = high chance of dozing.

It is important that you select a number (0-3) in each of the 8 boxes.

Situation / Chance of dozing (0-3)

Sitting and reading?(Required)
Watching television?(Required)
Sitting inactive in a public place, for example, a theatre or meeting?(Required)
As a passenger in a car for an hour without a break?(Required)
Lying down to rest in the afternoon?(Required)
Sitting and talking to someone?(Required)
Sitting quietly after lunch (when you’ve had no alcohol)?(Required)
In a car, whilst stopped at traffic?(Required)

Results

Why Choose Us

Bulk-Billed Services

We bulk bill our sleep studies, lung function tests, and Holter monitor tests for eligible patients to ensure cost is never a barrier to care.

Knowledgeable & Friendly Staff

Our clinical team is dedicated to supporting you through every step of the journey, from your initial inquiry to long-term treatment.

End-to-End Treatment

Beyond diagnosis, we supply and fit a full range of CPAP machines and equipment, providing a convenient “one-stop” solution for your sleep health.

Meet Our Director

Meet Our Director

Peter Taylor has been a cornerstone of the sleep industry since 1995. With a background in electronics and electrical engineering, Peter transitioned into the clinical applications of Respiratory, Cardiology, and Sleep medicine. He was instrumental in the early establishment of home sleep studies in Australia and took over leadership of Medisleep in 2014. When not at the clinic, Peter is an avid sailor and supports his son’s go-karting as a mechanic.

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Start Improving Your Sleep With Medisleep Today.

Take the first step toward better rest and better health — our team will guide you from assessment to treatment every step of the way.

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