Epworth Sleep Study
Think you may have a sleep disorder? This simple test can help you determine if you may have a problem.
What’s the chance you will doze off in the following situations?
(Please select the appropriate number)
Sitting and reading
0 – No chance of dozing
1 – Slight chance of dozing
2 – Moderate chance of dozing
3 – High chance of dozing
Watching TV
0 – No chance of dozing
1 – Slight chance of dozing
2 – Moderate chance of dozing
3 – High chance of dozing
Sitting inactive in a public place, such as a theater or meeting
0 – No chance of dozing
1 – Slight chance of dozing
2 – Moderate chance of dozing
3 – High chance of dozing
As a passenger in a car for an hour without a break
0 – No chance of dozing
1 – Slight chance of dozing
2 – Moderate chance of dozing
3 – High chance of dozing
Lying down to rest in the afternoon when circumstances permit
0 – No chance of dozing
1 – Slight chance of dozing
2 – Moderate chance of dozing
3 – High chance of dozing
Sitting and talking to someone
0 – No chance of dozing
1 – Slight chance of dozing
2 – Moderate chance of dozing
3 – High chance of dozing
Sitting quietly after a lunch without alcohol
0 – No chance of dozing
1 – Slight chance of dozing
2 – Moderate chance of dozing
3 – High chance of dozing
In a car, while stopped for a few minutes in traffic
0 – No chance of dozing
1 – Slight chance of dozing
2 – Moderate chance of dozing
3 – High chance of dozing
If your score is 10 or greater, review this form with your physician to determine the cause of your excessive daytime sleepiness and whether you have an underlying sleep disorder.
If you believe you may have a sleep disorder, speak to your doctor. If you do not have a doctor or would like more information on sleep disorders, call the St. John Sleep Disorders Center at (918) 744-2355.
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