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Epworth Sleepiness Scale

This questionnaire was developed to determine the level of daytime sleepiness in individuals. It has become one of the most frequently used methods for determining a person’s average level of daytime sleepiness.

Please rate how likely you are to doze or fall asleep in the following situations by selecting the response that best applies. If you have not done some of these activities recently, select what would most likely happen if you were in that situation.

0 Would never dose
1 Slight chance of dozing
2 Moderate chance of dozing
3 High chance of dozing

"*" indicates required fields

Sitting and reading*
Chance of dozing
Watching television*
Chance of dozing
Sitting inactive in a public place (eg, a theater or a meeting)*
Chance of dozing
As a passenger in a car for an hour without a break*
Chance of dozing
Lying down to rest in the afternoon when circumstances permit*
Chance of dozing
Sitting and talking to someone*
Chance of dozing
Sitting quietly after lunch without alcohol*
Chance of dozing
In a car, while stopped for a few minutes in traffic*
Chance of dozing
This field is for validation purposes and should be left unchanged.

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