Epworth

How likely are you to doze off or fall asleep in the following situations? Even if you haven’t done some of the activities recently, think about how they would have affected you.

Use this 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 or Sleeping

None Slight Moderate High
Sitting and reading

0

1

2

3

Watching TV

0

1

2

3

Sitting inactive in a public place

0

1

2

3

Being a passenger in a motor vehicle for an hour or more

0

1

2

3

Lying down in the afternoon

0

1

2

3

Sitting and talking to someone

0

1

2

3

Sitting quietly after lunch

0

1

2

3

Playing video games

0

1

2

3

Total score (add the scores up) _________

If your Total Epworth Score is > 8 Call Roy Sleep Medicine for an evaluation today.
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