The Epworth Sleepiness Scale

How likely are you to doze off or fall asleep in the situations described in the scale below, in contrast to feeling just tired? Even if you haven't done some of these things recently, try to work out how they would have affected you.

 

Using this scale to choose the most appropriate number for each situation, please download the form below and bring it with you to your appointment.  You should fill in the left hand column and ask your partner to fill in the right hand column.

 

You will need to use Adobe Acrobat Reader to view and download this file.  Please click here to download this free software to your computer.

 

Epworth Scale
Epworth.pdf
Adobe Acrobat document [273.6 KB]