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Phone: 505 438-3101 Fax: 505 474-6525 EPWORTH SLEEPINESS SCALE In Contrast to just feeling tired, how likely are you to doze off or fall asleep in the following situations? Use the following scale to choose the most appropriate number for each situation: 0 = Would never doze 1 = Slight chance of dozing 2 = Moderate chance of dozing 3 = High chance of dozing Situation Chance of Dozing Sitting & Reading ________________ Watching TV ________________ Sitting inactive in a public place (i.e. theater) ________________ As a car passenger for an hour without a break ________________ Lying down to rest in the afternoon ________________ Sitting & talking to someone ________________ Sitting quietly after lunch without alcohol ________________ In a car, while stopping for a few minutes in traffic ________________ Total Score: ________________ Score results: 1 – 5 Not sleepy 6 – 9 Mild sleepiness 10 and over Moderate to severe sleepiness |
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