Epworth Sleepiness Evaluation

  • Instructions

    • This questionnaire is a first step in determining whether you may have Sleep Apnea.
    • Enter a number in each box according to the scale below.
    • If you don't participate in some of these activities, use your best guess.
  • How likely are you to fall asleep in the following situations?

    0Never

    1Slight Chance

    2Moderate Chance

    3High Chance

  • * If you scored 10 or higher, the background of the total cell should be blue and is indicative of risk for Sleep Apnea.

    * Even if your score is less than 10, we recommend completing this form, many cases scoring under 10 result in undiagnosed sleep apnea.

  • Where would you like us to send the results?

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