Epworth Sleepiness Scale Epworth Your Name * Date of Birth * Your GP * choose from the listDr CashDr WallsDr BoydDr CalvertDr MacSorleyDr CarswellDr DuffyDr DickieDr MaysonDr GilhespyDr Popham How likely are you to doze off or fall asleep during the following situations? 1. Sitting and reading * choose from the list0 - would never doze off1 - slight chance2 - moderate chance3 - high chance 2. Watching TV * choose from the list0 - would never doze off1 - slight chance2 - moderate chance3 - high chance 3. Sitting, inactive in a public place * choose from the list0 - would never doze off1 - slight chance2 - moderate chance3 - high chance 4. As a passenger in a car for an hour without a break * choose from the list0 - would never doze off1 - slight chance2 - moderate chance3 - high chance 5. Lying down to rest in the afternoon when circumstances permit * choose from the list0 - would never doze off1 - slight chance2 - moderate chance3 - high chance 6. Sitting and talking to someone * choose from the list0 - would never doze off1 - slight chance2 - moderate chance3 - high chance 7. Sitting quietly after a lunch without alcohol * choose from the list0 - would never doze off1 - slight chance2 - moderate chance3 - high chance 8. In a car, while stopped for a few minutes in the traffic * choose from the list0 - would never doze off1 - slight chance2 - moderate chance3 - high chance reCAPTCHA Submit Start Over Δ
