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    Epworth Sleepiness Scale
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    Sitting and reading
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    Watching TV
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    Sitting, inactive in a public place (ie. a meeting or a theater)
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    As a passenger in a car for an hour without a break
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    Lying down to rest in the afternoon when circumstances permit
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    Sitting and talking to someone
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    Sitting quietly after lunch, without alcohol
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    In a car, while stopped for a few minutes in traffic
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    Height
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    Weight
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    Age
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    Gender
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    Name
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    E-mail
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    Phone
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    Zip Code
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