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Western Iowa Sleep

106 W. 5th Street

Carroll, Iowa 51401

  • Toll Free: (866)-518-0553

  • Local: (712) 775-5555

  • FAX: (712) 775-2382

The Epworth Sleepiness Test

How likely are you to doze off or fall asleep in the following situations?

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

The only way to be sure if you have obstructive sleep apnea is to have a sleep test at a qualified sleep center, but by scoring 9 or above on the Epworth Sleepiness test is an indication that you should see a doctor. Please feel free to print and fill out this test to take with you when you see a physician.
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Activity Score
Sitting and reading _________
Watching TV _________
Sitting, inactive in a public place (theater, 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 _________
TOTAL _________

Also try an extended test to check for other sleep disorders here.

   
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