Andover Health Centre Medical Practice > Services > Forms > Health Review Forms > Epworth Sleepiness Scale

Epworth Sleepiness Scale

How likely are you to doze off or fall asleep in the situations described below, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you don’t, or haven’t done some of these things recently, try to imaginehow they would affect you.

Epworth Sleepiness Scale
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Please use format day/month/year e.g. 12/05/1979
1. Sitting and Reading
2. Watching TV
3. Sitting, inactive in a public place (e.g. a theatre or a meeting)
4. As a passenger in a car for an hour without a break
5. Lying down to rest in the afternoon when circumstances permit
6. Sitting and talking to someone
7. Sitting quietly after lunch without alcohol
8. In a car, while stopped for a few minutes in traffic
Talk to your GP about your circumstances.

If you scored:

  •  0-5 lower normal daytime sleepiness
  •  6-10 normal daytime sleepiness
  • 11-12 mild excessive daytime symptoms
  • 13-15 moderate excessive daytime symptoms
  • 16-24 severe excessive daytime symptoms

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