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Sleep Disturbance Questionnaire for Adults

The Epworth Sleepiness Scale is for adults 17 years and older. Use the following scale to choose the most appropriate number for each situation.

  • Would never doze or sleep
  • 1 Slight chance of dozing or sleeping
  • 2 Moderate chance of dozing or sleeping
  • 4 High chance of dozing or sleeping
Sitting and reading

Watching TV

Sitting inactive in a public space

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