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 this scale to assess your sleepiness.

Only forms submitted in response to a GP request will be accepted.

Epworth Sleepiness Scale

Epworth Sleepiness Scale

If you are human, leave this field blank.

Please select your chance of dozing in the following situations

Sitting and Reading: *

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

Watching TV: *

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

Sitting, inactive in a public place (e.g. a theatre or a meeting): *

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

As a passenger in a car for an hour without a break: *

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

Lying down to rest in the afternoon when circumstances permit: *

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

Sitting and talking to someone: *

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

Sitting quietly after lunch without alcohol: *

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

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

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing