Sleepiness Scale The Epworth Sleepiness Scale is used to determine the level of daytime sleepiness. A score of 10 or more is considered sleepy. A score of 18 or more is very sleepy. If you score 10 or more on this test, you should consider whether you are obtaining adequate sleep, need to improve your sleep hygiene and/or need to see a sleep specialist. These issues should be discussed with your personal physician. Use the following scale to choose the most appropriate number for each situation: 0 = would never doze or sleep. 1 = slight chance of dozing or sleeping 2 = moderate chance of dozing or sleeping 3 = high chance of dozing or sleeping Print out this test, fill in your answers and see where you stand. Situation Chance of Dozing or Sleeping Sitting and reading ____ Watching TV ____ Sitting inactive in a public place ____ Being a passenger in a motor vehicle for an hour or more ____ Lying down in the afternoon ____ Sitting and talking to someone ____ Sitting quietly after lunch (no alcohol) ____ Stopped for a few minutes in traffic while driving ____ Total score (add the scores up) (This is your Epworth score) ____ _______________________________________________________________________________ Sleep Apnea Risk Questionnaire Assess your risk for sleep apnea. The total score for all 5 sections is your Apnea Risk Score. Print out this questionnaire, write in your best answer for each question and see where you stand. How frequently do you experience or have you been told about snoring loud enough to disturb the sleep of others? Never Rarely (less than once a week) Occasionally (1 – 3 times a week) Frequently (More than 3 times a week) Answer_____ How often have you been told that you have “pauses” in breathing or stop breathing during sleep? Never Rarely (less than once a week) Occasionally (1 – 3 times a week) Frequently (More than 3 times a week) Answer_____ How much are you overweight? Not at all Slightly (10 – 20 pounds) Moderately (20 – 40 pounds) Severely (More than 40 pounds) Answer______ What is your Epworth Sleepiness Score? Less than 8 9 -13 14 – 18 19 or greater Answer ______ Does your medical history include: High blood pressure Stroke Heart disease More than 3 awakenings per night (on the average) Excessive fatigue Difficulty concentrating or staying awake during the day Answer ______ If you answered 3) or 4) for questions A-D, especially if you have one or more of the conditions listed in question E, then you may be at risk for sleep apnea and should discuss this with your physician here . Note: You should always discuss sleep-related complaints with your physician before deciding on medical evaluation and treatment.