What happens if you have a BMI of 35 and a 17 inch neck but raise no concerns when questioned by your ME?

Do you snore?---No, never.
Do you sleep soundly throughout the night?---Yes, always.
Do you experience daytime sleepiness?---No, never.
Do you suffer from hypertension?---No.
Do you smoke?---No.

Does the ME simply mark you down as showing no signs of OSA?
If so, won't everyone just learn the correct answers to the diagnostic inquiries?