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Sleep Self-Assessment

Pediatric Sleep Questionnaire

A short, parent-completed screening for the signs of sleep-disordered breathing in children. Answer for your child below and the result totals automatically.

Please answer each question as it applies to your child over recent months. Choose Yes, No, or Don’t know. Only “Yes” responses count toward the total.

If eight or more statements are answered “Yes,” a sleep evaluation is worth considering.

0“YES” ANSWERS

Answer the questions above

Eight or more “Yes” answers suggests a sleep evaluation is worth considering.

Book a Consultation

This screening is for general education and isn’t a diagnosis. Childhood snoring and mouth breathing can affect growth, focus, and behaviour. If you have concerns, book a consultation and we’ll look at the whole picture together.