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Epworth Sleepiness Scale

Generated with MOOJ Proforms
* Required information.

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

This referes to your ususal way of life in recent times.  Even if you haven't done some of these things recently, try to work out how they would have affected you.

Use the following scale to choose the most approporiate number for each situation.

0 = Would never doze 
1 = Slight chance of dozing  
2 = Moderate chance of dozing  
3 = High chance of dozing
Name *
eMail
Phone
Sitting and reading
Zero
1
2
3
Watching television
Zero
1
2
3
Sitting inactive in a public place (i.e. theater)
Zero
1
2
3
As a car passenger for an hour without a break
Zero
1
2
3
Lying down to rest in the afternoon
Zero
1
2
3
Sitting and talking to someone
Zero
1
2
3
Sitting quietly after lunch without alcohol
Zero
1
2
3
In a car, while stopping for a few minutes in traffic
Zero
1
2
3
Epworth Sleepiness Scalae