Insomnia, Snoring, Sleep Apnea

The world and life of a sleep tech

The Epworth Qestionnaire

Posted by amykr on February 12, 2009

________________________ Date: _____________

Epworth Sleepiness Scale

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 our how they would affected you. 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

1. Sitting and reading _______________

2. Watching television _______________

3. Sitting inactive in a public place _______________

4. As a passenger in a care for an hour without a break ________________

5. Lying down to rest in the afternoon when
circumstances permit. ________________

6. Sitting and talking to someone ________________

7. Sitting quietly after lunch without alcohol ________________

8. In a care, while stopped, for a few minutes in traffic _________________

total score ___________________
Score great thern 9 see your doctor

If neck size is great ther 17 inches it can contribute to sleep issues
If you snore it can contribute to sleep issues
If you wake with morning headaches it can contribute to sleep issues
If you have uncontrolled HTN or Diabetes it can contribute to sleep issues
If you are tired all the time it can contribute to sleep issues
If you have insomnia it can contribute to sleep issues
If you move your legs or gring your teeth it can contribute to sleep issues

Talk to your primary care doctor about your sleep

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