Awake In Philly || Epworth Sleepiness Scale

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The Epworth Sleepiness Scale

How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, try to work out how they would have affected you. Use the scale provided next to each question to choose the most appropriate number for each situation.

After you complete the Epworth Sleepiness Scale, add any questions you may have to in the “Concerns I Have Right Now” box provided at the bottom of the form, and then click the "Submit Online Quiz" button.

A few minutes after you click the “Submit Online Quiz” button, you will receive an email from Awake In Philly showing the questions from the Epworth Sleepiness Scale, your responses to each question, the corresponding score for each question, as well as your total score for the Epworth Sleepiness Scale. A chart to interpret your Epworth score will be included at the bottom of the email, as well as some general information, should the Epworth Sleepiness Scale indicate that you should consult a sleep specialist.

What's the chance you will doze off
in the following situations?

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

We value your privacy. This information will not be shared with anyone outside of the Awake In Philly Community Education Group.

The information is requested in the event you need to follow-up with Awake In Philly on any portion of this form, or the related evaluation. A serial number will be assigned to the email you receive. Please make reference to this evaluation, as well as the serial number assigned when contacting Awake In Philly regarding any questions or concerns you may have.

Name (required)

Company

Address

City

State

Country

ZIP Code

Phone 1

Phone 2

Email (required)

Concerns I have right now:

Finish:

Reply scripting created by Emery Jeffreys.

Epworth Sleepiness Scale copyright held by Dr. Murray Johns.
Epworth Sleepiness Scale used on the Awake In Philly website with permission of the author.

Interesting Apnea Statistics

~~ Apnea in the United States ~~

As of March 23, 2007 at 10:54 a.m. (-0500), the U.S. population was 301,442,343. With new estimates
that about seven percent of the population suffers from obstructive sleep apnea, that means
there are potentially 21,100,964 apneics in the U.S.

Apnea around the world ~~
As of March 23, 2007 at 10:54 a.m. (-0500), the world population was 6,584,093,711. With new estimates
that about seven percent of the population suffers from obstructive sleep apnea, that means
there are potentially 460,886,560 apneics in the world.

Awake In Philly is a community education group for individuals who have been diagnosed with at least one of the recognized sleep disorders, as well as anyone else impacted by those with sleep disorders. The information contained in this site is intended to provide support, guidance, and encouragement to others contending with the many challenges of sleep disorders. The goals of Awake In Philly are to support, educate, and inform those who feel the impact of sleep disorders, as well as the general public, and is not intended to replace medical advice, nor is any information to be misinterpreted as an attempt to diagnose, treat, cure, or prevent any disease.

If you have questions about any of the medical conditions mentioned on this website, especially if you suspect that you (or someone you know) has sleep apnea, please contact a qualified medical professional immediately. Medical advice should only come from qualified, licensed, and trained healthcare professionals.

Citation: David F. Jackson. “epworth.shtml”, located at . Awake In Philly Community Education Group. Last Modified on Sunday, 03-Jun-2007 11:20:28 EDT. (Page last visited: Monday, 12-May-2008 18:12:47 EDT).

This site is © 2000-2006 by Dave Jackson (Scoop0901). All rights reserved. Unauthorized duplication, storage, or reproduction in any form is strictly prohibited. To inquire about permissions, contact us via our contact form.

The Epworth Sleepiness Scale

What's the chance you will doze off in the following situations?

Interesting Apnea Statistics

What's the chance you will doze off
in the following situations?