Epworth Sleepiness Scale

In contrast to just feeling tired, how likely are you to doze off or fall asleep in the following situations? (This refers to your usual life in recent times. Even if you have not done some of these things recently, try to work out how they would have affected you).

Use the following scale to choose the most appropriate number for each situation:

Name*

First Last

Phone*

Email*

Sitting and reading*

0 = Would never dose

1 = Slight chance of dozing

2 = Moderate chance of dozing

3 = High chance of dozing

Watching television*

0 = Would never dose

1 = Slight chance of dozing

2 = Moderate chance of dozing

3 = High chance of dozing

Sitting inactive in a public place (i.e. theater)*

0 = Would never dose

1 = Slight chance of dozing

2 = Moderate chance of dozing

3 = High chance of dozing

As a car passenger for an hour without a break*

0 = Would never dose

1 = Slight chance of dozing

2 = Moderate chance of dozing

3 = High chance of dozing

Lying down to rest in the afternoon (required)*

0 = Would never dose

1 = Slight chance of dozing

2 = Moderate chance of dozing

3 = High chance of dozing

Sitting and talking to someone*

0 = Would never dose

1 = Slight chance of dozing

2 = Moderate chance of dozing

3 = High chance of dozing

Sitting quietly after lunch without alcohol*

0 = Would never dose

1 = Slight chance of dozing

2 = Moderate chance of dozing

3 = High chance of dozing

In a car, while stopping for a few minutes in traffic*

0 = Would never dose

1 = Slight chance of dozing

2 = Moderate chance of dozing

3 = High chance of dozing

Click the submit button below, and we will get back to you with your results!

* A score of 6 or greater indicates the possibility of a sleep-breathing disorder.

Phone

This field is for validation purposes and should be left unchanged.

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