Sitting and Reading

Watching TV

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

As a car passenger for an hour without break

Lying down to rest in the afternoon

Sitting and talking to someone

Sitting quietly after lunch (without alcohol)

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

How likely are you to doze off in the following situations?

Would never doze

Slight chance of dozing

Moderate chance of dozing

High chance of dozing

3

2

1

0

0 = Would never doze
1 = Slight chance of dozing
2 = Moderate chance of dozing
3 = High chance of dozing

Situation

0   1   2   3

0   1   2   3

0   1   2   3

0   1   2   3

0   1   2   3

0   1   2   3

0   1   2   3

0   1   2   3

Add Up Your Total Score:

Schedule a Consult

We recommend making a consultation appointment if you scored 4 or higher or if you have any reason to believe you may be suffering from a sleep disorder.