Epworth Sleepiness Scale

Page {{ paginatorProps.current }} of {{ paginatorProps.total }} ({{ paginatorProps.percentage }}% completed)
Epworth Sleepiness Scale

Epworth Sleepiness Scale 

What is the Epworth Sleepiness Scale?

  • It is intended to measure daytime sleepiness and is helpful in diagnosing sleep disorders.

What does it involve?

  • There are 8 questions relating to different situations where you might fall asleep.
  • Once you have scored each question the values are added together to give an indication of the severity of your symptoms.
Processing

All questions marked with a * are mandatory

Personal Details
Please double check you've entered the correct email address
May be used to identify you
Processing
Epworth Sleepiness Review

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.
Sitting and Reading: *
Watching TV: *
Sitting, inactive in a public place (e.g. 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 lunch without alcohol: *
In a car, while stopped for a few minutes in traffic: *
Processing
A score of 0 to 10

Indication of Normal Sleepiness 

, you have a score of 

You may not require any formal treatment

  • However, if you would like to send this assessment to the surgery please continue to the next page
A score of 11 to 14

Indication of Mild Sleepiness 

, you have a score of 

Your GP may suggest that you have an assessment. 

If you would like to send this assessment to the surgery please continue to the next page

A score of 15 to 18

Indication of Moderate Sleepiness

, you have a score of 

Your GP may suggest that you have an assessment

  • Please submit this assessment to the surgery by continuing to the next page
A score of 19 to 24

Indication of Severe Sleepiness

, you have a score of 

Your GP may suggest that you have an assessment.

  • Please submit this assessment to the surgery by continuing to the next page
Processing

Privacy Consent

Processing

There appears to be a problem loading the form, please refresh the page.
If the error persists please contact us.

Providing NHS Services

Holmwood Corner Surgery 134 Malden Road, New Malden, Surrey KT3 6DR
Telephone: 020 8942 0066