Patient Name
Contact Information
Choose the most appropriate number for each situation and total your score. How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired?
0 = would never doze
1 = slight chance of dozing
2 = moderate chance of dozing
3 = high chance of dozing
Sitting and reading
Watching TV
Sitting, inactive in a public place (like a theatre or a meeting)
As a passenger in 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 the traffic
General History
Copyright © 2022, Powered by Helenzys