Home Up Locations Referral Form Patient Instructions

The Epworth Sleepiness Scale
 


 

 

THE EPWORTH SLEEPINESS SCALE


How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired?

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

 




 

0 = no chance of dozing
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing





SITUATION CHANCE OF DOZING
Sitting and reading ____________
Watching TV ____________
Sitting inactive in a public place (e.g a theater or a meeting) ____________
As a passenger in a car for an hour without a break ____________
Lying down to rest in the afternoon when circumstances permit ____________
Sitting and talking to someone ____________
Sitting quietly after a lunch without alcohol ____________
In a car, while stopped for a few minutes in traffic ____________



To check your sleepiness score, total the points. Scores over 8 points may indicate a possible sleep disorder.


 

 

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