PLEASE TAKE A MOMENT TO RATE THE FOLLOWING SITUATIONS:
In contrast to just feeling tired, how likely are you to doze off or fall asleep in the following situations? 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

Sitting and reading Watching Television Sitting inactive in a public place (i.e. theater) As a car passenger 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 stopping for a few minutes in traffic

0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3 0 1 2 3

THE EPWORTH SLEEPINESS SCALE KEY:
1-6 7-8 9 and up	Congratulations, you are getting enough sleep! Your score is average Seek the advise of a sleep specialist without delay

A score of 9 or above indicates that you may be having a problem with daytime sleepiness, but below 9 does not necessarily mean that you don't have a problem.