Epworth Sleepiness Score

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

For each situation below, give yourself a score of 0 to 3 where:

0 = would never doze

1 = slight chance of dozing

2 = moderate chance of dozing

3 = high chance of dozing

(If you have not been in a situation recently, think about how you would have been affected).

Epworth Sleepiness Score

Name

Date

Sitting and reading

Watching Television

Sitting, inactive in a public place (e.g. a theatre, meeting)

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

Lying down to rest in the afternoon

Sitting and talking to someone

Sitting quietly after lunch (when you have not had alcohol)

In a car, while stopped in traffic

Grand TOTAL

Do you drive?

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