# From 'how do you feel' to a sleep study

Subjective → free questionnaire → wearable ($100–600) → sleep hospital.



## Takeaways

- Screen first, it's free.

- A flagged score is your ticket to a doctor's referral.



Step 1 — Subjective. Do you feel good, wake refreshed, have energy? Then breathe.

Step 2 — Free validated questionnaires for RLS, insomnia, apnea, circadian disorders and chronotype. If you flag, go up a level.

Step 3 — Wearables / at-home tech ($100–600). Great for awareness, accountability and total sleep time.

Step 4 — Sleep hospital (polysomnography). If you have a true disease, this is where you need to get to. Take your questionnaire score to your doctor and say: here's what I scored, will you order me a sleep study? It's a pain, and it's worth it. Home sleep testing is the clear future.



## Sources

- STOP questionnaire: a tool to screen patients for obstructive sleep apnea (Chung F, Yegneswaran B, Liao P, et al., 2008)

- A new method for measuring daytime sleepiness: the Epworth sleepiness scale (Johns MW, 1991)

- Performance of seven consumer sleep-tracking devices compared with polysomnography (Chinoy ED, Cuellar JA, Huwa KE, et al., 2021)

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Educational summary of published research, not medical advice. Screening scores are not diagnoses. If a score is elevated or you feel unwell, talk to a clinician.

SleepShred for iPhone: https://apps.apple.com/app/id6802040541
