Sleep Test

Epworth Sleepiness Scale

Based on each of the folowing siutations select the answer which best describes your "chance of dozing" in each situation. When complete, total the scores at the bottom to help in your self assessment.

Sitting and reading

0-Would never doze
1-Slight chance of dozing
2-Moderate chance of dozing
3-High chance of dozing

Watching Television

0-Would never doze
1-Slight chance of dozing
2-Moderate chance of dozing
3-High chance of dozing

Sitting inactive in a public place

0-Would never doze
1-Slight chance of dozing
2-Moderate chance of dozing
3-High chance of dozing

As a passenger in a car for an hour

0-Would never doze
1-Slight chance of dozing
2-Moderate chance of dozing
3-High chance of dozing

Lying down to rest in the afternoon

0-Would never doze
1-Slight chance of dozing
2-Moderate chance of dozing
3-High chance of dozing

Sitting and talking to someone

0-Would never doze
1-Slight chance of dozing
2-Moderate chance of dozing
3-High chance of dozing

Sitting quietly after lunch without alcohol

0-Would never doze
1-Slight chance of dozing
2-Moderate chance of dozing
3-High chance of dozing

In a car while stopped for a few minutes

0-Would never doze
1-Slight chance of dozing
2-Moderate chance of dozing
3-High chance of dozing

Total Score _______

Add the selected numbers together to get a total score. If your score is 10 or greater you should consider whether you are obtaining adequate sleep, need to improve your sleep habits or have a medical condition affecting your sleep. Please share these results with your Family care provider.

To find out more about sleep apnea, please visit Sleep Foundation Resources