How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? Answer each question under current normal circumstances as much as possible. Even if you have not done some of these things recently, try to work out how they would have affected you. 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

1. Sitting and reading *

2. Watching TV *

3. Sitting inactive in a public place (e.g. a theater or meeting) *

4. As a passenger in a car for an hour without a break *

5. Lying down to rest in the afternoon when circumstances permit *

6. Sitting and talking to someone *

7. Sitting quietly after lunch (without alcohol) *

8. In a car, while stopped for a few minutes in traffic *

Total: (This is your ESS score) *

Name *

First Name

Last Name

Email *

Thank you!

Analyze your score:
0-10 Normal range in healthy adults
11-14 Mild sleepiness (you may consider seeing sleep specialist)
15-17 Moderate sleepiness (a good idea to see a sleep specialist)
18-24 Severe sleepiness (strongly recommended to see a sleep specialist)

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~Oregon Sleep Associates

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Oregon Sleep Associates, 2228 Northwest Pettygrove Street, Ste 150, Portland, OR, 97210, United States503.288.5201 [email protected]