Epworth Sleepiness Test

ARE YOU AT RISK? Take the Epworth Sleepiness Test

The Epworth Sleepiness Scale is used by physicians to test your sleepiness levels.
If you rate "sleepy" on this scale, we recommend
that you speak with your physician about it.
Full Name

First NameLast Name
E-mail
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 haven’t done some of these things recently try to work out how they would have affected you.

Use the following scale to choose the most appropriate number for each situation.

0 = Would never doze
1 = Slight chance of dozing
2 = Moderate chance of dozing
3 = High chance of dozing
SITUATION CHANCE OF DOZING
Sitting and Reading

0 = Would never doze1 = Slight chance of dozing2 = Moderate chance of dozing3 = High chance of dozing
Watching TV

0 = Would never doze1 = Slight chance of dozing2 = Moderate chance of dozing3 = High chance of dozing
Sitting, inactive in a public place (e.g. a theatre or a meeting)

0 = Would never doze1 = Slight chance of dozing2 = Moderate chance of dozing3 = High chance of dozing
As a passenger in a car for an hour without a break

0 = Would never doze1 = Slight chance of dozing2 = Moderate chance of dozing3 = High chance of dozing
Lying down to rest in the afternoon when circumstances permit

0 = Would never doze1 = Slight chance of dozing2 = Moderate chance of dozing3 = High chance of dozing
Sitting and talking to someone

0 = Would never doze1 = Slight chance of dozing2 = Moderate chance of dozing3 = High chance of dozing
Sitting quietly after lunch without alcohol

0 = Would never doze1 = Slight chance of dozing2 = Moderate chance of dozing3 = High chance of dozing
In a car while stopped for a few minutes in traffic

0 = Would never doze1 = Slight chance of dozing2 = Moderate chance of dozing3 = High chance of dozing
If you answered 3 or more of these questions with a 2 and/or 3 please contact the Knox Community Hospital Sleep Medicine Department for an appointment if you feel you are at risk for sleep apnea. 740.393.9915.

Learn more about the Epworth Sleepiness Scale

www.slideshare.net/slideshow/embed_code/16551764
Enter the message as it's shown*
Should be Empty: