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Epworth Sleepiness Scale

    

How likely are you to dose off or fall asleep in the following situations, in contrast to just feeling tired?  This refers to your usual way of 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:

 

0 = Never,    1 = Slight Chance,    2 = Moderate Chance,    3 = High Chance

 

Situation                                                                                 Chance of Dozing

Sitting and reading                                                                          ______________

Watching TV                                                                                      ______________

Sitting inactive in a public place                                                   ______________

As a passenger in a car for an hour without a break              ______________

Lying down to rest in the afternoon when possible               ______________

Sitting and talking to someone                                                    ______________

Sitting quietly after lunch without alcohol                                ______________

In a car, while stopped for a few minutes in traffic                  ______________

 

TOTAL                                                                                  ______________