Epworth Sleepiness Score

How likely are you to doze off or fall asleep in the situations described below, in contrast to feeling tired?

This refers to your usual way of life in recent times.

Even if you haven’t done some of these things recently try to work out
how they would have affected you.

Your Details

Title

First Names

Surname

Date of Birth

Home Address

Postcode

Best telephone number to contact you

Select the option for your chance of dozing in the following situations

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 lunch without alcohol:

In a car, while stopped for a few minutes in traffic:

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