The Epworth Sleepiness Scale

  
cm

Kg

  

Date  ：

    
  How Sleepy Are You?
How likely are you to doze off or fall asleep in the following situations? You should rate your chances of dozing off, not just feefing tired. Even if you have not done some of these things recently try to determine how they would have affected you. For each situation, decide whethei or not you would have.
Enter your chosen number in the box on the right.
Your total score will be calculated automatically.
    

Situation
 No chance of dozing Slight chance of dozing Moderate chance of dozing High chance of dozing
０point
１point
２point
３point
Q1
 Sitting and reading
Q2
 Sitting and watching TV
Q3
 sitting sitting inactive in a public place
（e.x., a theater or a meeting）
Q4
 As a passenger in a car for an hour without a break
Q5
 Lying down to rest in the afternoon when circumstances permit
Q6
 Sitting and talking to sorneone
Q7
 Sitting quietly after lunch without alcohol
Q8
 ln a car, while stopped for a few minutes in traffic
Tolal Score =
  points
If your score is 11 or above, you are experiencing severe daytime sleepiness and should see a specialist.