Sleep Test Assessment

Epworth Sleepiness Scale: How likely are you to doze off or fall asleep in the following situations, in contrast to just feeling tired?. Even if you have not done some of these things recently, try to predict how they would affect you. Use the following scale to mark the most appropriate box for each situation.

0 = would never doze off
1 = slight change of dozing off
2 = moderate chance of dozing off
3 = high chance of dozing off
4 = would always doze off




PPO
HMO
No insurance

less true 0 1 2 3 4 more true

less true 0 1 2 3 4 more true

less true 0 1 2 3 4 more true

less true 0 1 2 3 4 more true

less true 0 1 2 3 4 more true

less true 0 1 2 3 4 more true

less true 0 1 2 3 4 more true

less true 0 1 2 3 4 more true