| Epworth Sleepiness Scale
How likely are you to doze off or fall asleep in the situations described below, in contrast to feeling just tired?
This refers to your usual 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.
After your results are evaluated, if you would like someone to contact you with more information, please include your name and phone or email address.
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| Name |
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| Your age:(Yr) |
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| Your Sex |
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| Email Address |
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Use the following scale to choose the most appropriate number for each situation:
0 = would never doze
1 = Slight chance of dozing
2 = Moderate chance of dozing
3 = High chance of dozing
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| Sitting and reading |
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| Watching TV |
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| Sitting, inactive in a public place (e.g. a theatre or a meeting) |
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| As a passenger in a car for an hour without a break |
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| Lying down to rest in the afternoon with circumstances permit |
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| Sitting and talking to someone |
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| Sitting quietly after a lunch without alcohol |
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| In a car, while stopped for a few minutes in traffic |
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| Total |
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Score:
0 - 10 Normal Range
10 - 12 Borderline
12 - 24 Abnormal
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