Epsworth Scale

The following questions are designed to identify a sleep problem.  Chose the most appropriate number for each situation.  To send this to the doctor, fill in the blanks and click on "Send to Doctor".

A score of 6 or more indicates the possibility of a sleep disorder and should be discussed with your physician and dentist.

Name:
Phone:
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In constrast to feeling tired, are you likely to doze or fall asleep in the following situations?

Sitting & Reading?
Watching Television?
Sitting inactive in a public place (i.e. theater)?
Passenger in a car for an hour without a break?
Lying down to rest in the afternoon?
Sitting and talking to someone?
Sitting quietly after lunch without alcohol?
In a car while stopped for a few minutes in traffic?

Total Score