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Epworth Sleepiness Scale
Sitting and reading
Please select one
Would never doze off
Slight chance of dozing off
Moderate chance of dozing off
High chance of dozing off
Watching TV
Please select one
Would never doze off
Slight chance of dozing off
Moderate chance of dozing off
High chance of dozing off
Sitting, inactive in a public place (ie. a meeting or a theater)
Please select one
Would never doze off
Slight chance of dozing off
Moderate chance of dozing off
High chance of dozing off
As a passenger in a car for an hour without a break
Please select one
Would never doze off
Slight chance of dozing off
Moderate chance of dozing off
High chance of dozing off
Lying down to rest in the afternoon when circumstances permit
Please select one
Would never doze off
Slight chance of dozing off
Moderate chance of dozing off
High chance of dozing off
Sitting and talking to someone
Please select one
Would never doze off
Slight chance of dozing off
Moderate chance of dozing off
High chance of dozing off
Sitting quietly after lunch, without alcohol
Please select one
Would never doze off
Slight chance of dozing off
Moderate chance of dozing off
High chance of dozing off
In a car, while stopped for a few minutes in traffic
Please select one
Would never doze off
Slight chance of dozing off
Moderate chance of dozing off
High chance of dozing off
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