| Answer the following questions to see if you may be suffering from sleep apnea: |
| EPWORTH SLEEPINESS SCALE In contrast to just feeling tired, how likely are you to doze off or fall asleep in the following situations? Use the following scale to choose the most appropriate number for each situation: 0 = Would never doze 1 = Slight chance of dozing 2 = Moderate chance of dozing 3 = High chance of dozing SITUATION: Sitting and reading Watching Television Sitting inactive in a public place (i.e. theatre) As a car passenger for an hour without a break Lying down to rest in the afternoon Sitting and talking to someone Sitting quietly after lunch without alcohol In a car, while stopping for a few minutes in traffic Add your total score. A score of 6 or greater indicates the possibility of sleep disordered breathing. |