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Sleep Disorder Self Test

 

The Epworth Sleepiness Scale is a simple, self-administered questionnaire which will provide a measurement of your general level of daytime sleepiness. Please use the scale below to rate your level of sleepiness in each given situation.

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life. Even if you have not done some of these things recently, try to think about how they would affect you now.

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
Situation Chance of Dozing
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 a lunch without alcohol  
In a car, while stopped for a few minutes in the traffic  
     
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