Evaluating Your Sleep: Self Evaluation
Epworth Sleepiness Scale
This is the standard series of questions that are widely used to see how your sleep affects your daily life. You will rate how likely you are to fall asleep in certain situations.
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 following scale to choose the most appropriate number for each situation:
| 0=no chance of dozing |
| 1=slight chance of dosing |
| 2=moderate chance of dozing |
| 3= high chance of dozing |
SITUATION
- Sitting and reading #____
- Watching Television #____
- Sitting inactive in a public place such as a theater or meeting #____
- As a passengern a car for an hour without a break #____
- Lying down to rest in the afternoon when circumstances permit #____
- Sitting and talking to someone #____
- Sitting quietly after a lunch without alcohol #____
- In a car, while stopped for a few minutes in traffic #____
CALCULATE YOUR SCORE #____
Evaluation
These questions will help reveal any problems in your pattern of sleep and how your sleep affects you during the day.
Read the statements below and answer true or false for each one.
If you answer true more than twice, you may want to discuss your sleep problem with your healthcare professional.
- I feel sleepy during the day, even when I get a good night’s sleep True____ False____
- I get very irritable when I can’t sleep True____ False____
- I often wake up at night and have trouble falling back to sleep True____ False____
- It usually takes me a long time to fall asleep True____ False____
- I experience an uncomfortable/ restless sensation in my legs at night True____ False____
- My legs often move or jerk during the night True____ False____
- I sometimes wake up gasping for breath True____ False____
- My bed partner says my snoring keeps them from sleeping True____ False____
- I’ve fallen asleep while driving True____ False____
TOTALS ____ ____
