Epworth Sleepiness Scale

*** This form will be submitted electronically by standard email as a password-protected pdf file directly to the practice nurse. If you wish to send your name and date of birth in a de-identified manner please write a bogus name and advise reception by phone to link to your file. ***

  • Instruction

    When you submit the questionnaire, you will see your score at the next screening with an explanation.

    Score Guide
    Less then 8 = Lower Normal Daytime Sleepiness
    More then 8 = Higher Normal Daytime Sleepiness

  • How likely are you to doze off or fall asleep in the following situations, 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:

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