Boston PainCare

Epworth Sleepiness Scale

How likely are you to doze off?

How likely are you to doze off or fall asleep in the following situations? Even if you have not done some of these things recently try to estimate the effect it might have on your level of drowsiness. Use the following scale to choose the most appropriate number for each situation.

Use the scale below 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

Watching TV

Sitting inactive in a public place (in a meeting or watching a movie)

As a car passenger for an hour without a break

Lying down to rest in the afternoon when circumstances permit

Sitting and talking to someone

Sitting quietly after lunch without alcohol

In a car, while stopped for a few minutes in traffic

If your total score is 10 or greater, please print these results to show to your doctor.    Total:  
  

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