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.

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Your Details

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Self Assessment Questions

How likely are you to doze off or fall asleep in the following situations? Please answer each question as best as you can

Sitting and Reading:

Watching TV:

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

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

Lying down to rest in the afternoon when circumstances permit:

Sitting and talking to someone:

Sitting quietly after lunch without alcohol:

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

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Key Information

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Epworth Sleepiness Scale Form

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