Feel free to print this and fill it out before coming in to our office. Might also be a good idea to give a copy to that spouse who snores!
Patient Name: Date of Birth:
EPWORTH SLEEPINESS SCALE
In contrast to just feeling tired, how likely are you to doze off or fall asleep in the following situations? Even if you have not done some of these things recently, try to work out how they would have affected you. Use the following scale to choose the most appropriate number or each situation.
