| 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 in recent times. Even if you have not done some of these things recently, try to work out how they would have affected you. Use the following scale to choose the most appropriate number for each situation: |
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Sitting and Reading |
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0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing |
Watching TV |
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Sitting, inactive in a public place (eg:a theater or a meeting) |
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As a passenger in a car for an hour without a break |
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lying down to rest when the circumstances permit |
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Sitting and talking to someone |
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Sitting quietly after a lunch without alcohol |
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In a car, while stopped for a few minutes in traffic |
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TOTAL SCORE:
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/24 |
If your score is nine or above, you may have obstructive sleep apnea. Call Drowsy1 at
877-drowsy1 for more information OR: |
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Thank you for your cooperation.
Material in this section from: Johns MW. A new method for measuring daytime sleepiness: the Epworth Sleepiness scale, Sleep. 14(6):540-545