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Epworth Sleepiness Scale In contrast to just feeling tired, how likely are you to doze off or fall asleep in the following situations? (Even if you have not 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. 0 = Would never doze 1 = Slight chance of dozing 2 = Moderate chance of dozing 3 = High chance of dozing Situation Chance of Dozing: Sitting and Reading ------------------------------------------------------------------------------ -- Watching TV ------------------------------------------------------------------------------ -- Sitting inactive in a public place (i.e. theatre) ------------------------------------------------------------------------------ -- 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 ------------------------------------------------------------------------------ -- A score of greater than 10 is a definite cause for concern as it indicates significant excessive daytime sleepiness. This document was produced by the Nebraska Rural Health and Safety Coalition. Funded in part by a grant from the W.K. Kellogg Foundation. Nebraska Rural Health and Safety Coalition, University of Nebraska Medical Center, 600 South 42nd Street, Omaha, Nebraska 68198-5300. Phone: (402) 559-7397. FAX: (402) 559-8210.