This questionnaire measures your general level of daytime sleepiness. It takes about 2 minutes to complete. Your score will be calculated automatically and sent to the clinic for review by your physician.
Your Information
How Likely Are You to Doze Off?
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 out how they would have affected you. It is important that you answer each question as best you can.
Sitting and reading
Watching TV
Sitting inactive in a public place (e.g. a theatre or a meeting)
As a passenger in a car for an hour without a break
Lying down to rest in the afternoon when circumstances permit
Sitting and talking to someone
Sitting quietly after lunch without alcohol
In a car, while stopped for a few minutes in traffic