Sleep Self-Evaluation: The Epworth Sleepiness Scale -

The Epworth Sleepiness Scale is used to determine the level of daytime sleepiness. A score of 10 or more is considered sleepy. A score of 18 or more is very sleepy. If you score 10 or more on this test, you should consider whether you are obtaining adequate sleep, need to improve your sleep hygiene and /or need to see a sleep specialist. These issues should be discussed with your personal physician.

Please answer all of the below questions.

How likely are you to fall asleep in the following situations?

0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing

Sitting and reading*
Watching television*
Sitting, inactive, in a public place (theater, meeting)*
As a passenger in a car for an hour with no break*
Laying down to rest in the afternoon, if circumstances permit*
Sitting and talking to someone*
Sitting quietly after lunch without alcohol*
In a car while stopped for a few minutes in traffic*
Your Score
Your score will display here when all the questions above are answered.
If your score was 10 or higher, you may be having a serious problem with daytime sleepiness, which can be caused by sleep apnea. A score below 10 does not necessarily mean that you do not have a problem.

CONTACT DR. MARTIROSSIAN RIGHT AWAY TO DISCUSS YOUR PROBLEMS WITH DAYTIME SLEEPINESS.
Have Dr. Martirossian follow up with me about my results
- Have Dr. Martirossian follow up with me about my results
Name*
First Last
Phone*
Email the results to me*
- Yes
- No
Email Address*
Name
This field is for validation purposes and should be left unchanged.

How likely are you to fall asleep in the following situations?

CONTACT DR. MARTIROSSIAN RIGHT AWAY TO DISCUSS YOUR PROBLEMS WITH DAYTIME SLEEPINESS.

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