Epworth Sleepiness Scale

Key:
0 = Would never dose
1 = SLIGHT chance of dozing
2 = MODERATE chance of dozing
3 = HIGH chance of dozing

(Use the key above, check the best selection)

Situation Chance of Dozing
Sitting and Reading O 1 O 2 O 3 O 4
Watching TV O 1 O 2 O 3 O 4
Sitting inactive in a public place (ie: theater, meeting) O 1 O 2 O 3 O 4
As a passenger in a car, for an hour without a break O 1 O 2 O 3 O 4
Lying down to rest in the afternoon when circumstances permit O 1 O 2 O 3 O 4
Sitting and talking with someone O 1 O 2 O 3 O 4
Sitting quietly after lunch without alcohol O 1 O 2 O 3 O 4
In a car, while stopped for a few minutes in traffic O 1 O 2 O 3 O 4


An Epworth Scale of 11 or higher is indicative of a possible Sleep Disorder. Further evaluation is recommended.