Epworth Sleepiness Scale

Mark your score using the following values:

0 = NEVER                1 = SLIGHT CHANCE
2 = MODERATE        3 = VERY LIKELY


Falling Asleep

How likely are you to doze off in these situations?

___ Sitting and Reading
___ Watching TV
___ Sitting in a public place
___ Riding in a car, train, or plane
___ Lying down in the afternoon
___ Sitting and Talking
___ Sitting quietly after drinking alcohol
___ In a car stopped for traffic
___ TOTAL

        A score of eight or higher indicates you may have a sleep disorder.

The Snore Score

___ How often are you told you snore?
___ Does your snoring affect your bed partner?
___ Does your snoring affect others in the house?
___ TOTAL

        A score of two or higher indicates your snoring may be related to a sleep disorder.

Resources

Helpful Links

American Academy of Sleep Medicine

American Sleep Apnea Association

National Sleep Foundation

Clifton Center For Sleep Disorders
6 Brighton Road, Suite 106, Clifton, NJ 07012
Phone: 973.272.6933  Fax: 973.272.6935