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?


    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?

    Home Sleep Delivered will never sell or provide your information to anyone without your consent. Like never ever.

    Please see our privacy policy for additional information.

  • This field is for validation purposes and should be left unchanged.