Epworth Sleepiness Scale Form
How likely are you to doze off or fall asleep in the following situations, in comparison 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.
Self Assessment Questions
Privacy Protection
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Learn more about our Privacy Policy and
Terms of Use.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.