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Epworth Sleepiness Scale

HomeEpworth Sleepiness Scale

Epworth Sleepiness ScaleSherri Ring2021-05-13T03:05:26+10:00

EPWORTH SLEEPINESS SCALE

Screen for excessive sleepiness or follow response to treatment for a sleep disorder

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Chance of dozing off while sitting and reading?*
Chose one!
- Never
- Slight
- Moderate
- High

Chance of dozing off while watching TV?*
Chose one!
- Never
- Slight
- Moderate
- High

Chance of dozing off while Sitting, inactive in a public place?*
Chose one!
- Never
- Slight
- Moderate
- High

Chance of dozing off as a passenger in a car for an hour without a break?*
Chose one!
- Never
- Slight
- Moderate
- High

Chance of dozing off while lying down to rest in the afternoon when circumstances permit?*
Chose one!
- Never
- Slight
- Moderate
- High

Chance of dozing off while sitting and talking to someone?*
Chose one!
- Never
- Slight
- Moderate
- High

Chance of dozing off while sitting quietly after lunch without alcohol?*
Chose one!
- Never
- Slight
- Moderate
- High

Chance of dozing off while in a car, while stopped for a few minutes in traffic?*
Chose one!
- Never
- Slight
- Moderate
- High
Epworth Sleepiness Scale

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m: 0439 499 253
e: sherri@energyhealthconcepts.com

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How are you progressing with your new habits?*
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